NPI 1154090355
Ellen Faith Criswell
Practice location
- Address
- 109 Martin Luther King Jr Dr, Forsyth, GA 31029-1689
- Phone
- (478) 787-5790
- Mailing address
- 477 Sunset Ter, Forsyth, GA 31029-1678
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1154090355
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Sep 2021
- Record last updated
- 10 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.