Individual
DR. CRYSTAL MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 CUMMING HWY STE 106, CANTON, GA 30115-8009
(678) 493-2220
(678) 493-4832
Mailing address
2030 CUMMING HWY STE 106, CANTON, GA 30115-8009
(678) 493-2220
(678) 493-4832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002725
GA
Other
Enumeration date
11/09/2012
Last updated
11/01/2013
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