NPI 1154140838
Crystal R Small
Practice location
- Address
- 2293 Park Manor Ln, Snellville, GA 30078-6844
- Phone
- (678) 836-5280
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1154140838
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2024
- Record last updated
- 9 Oct 2024
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.