Individual
MRS. MICHELLE RENEE CRUMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4398 ATLANTA HWY, LOGANVILLE, GA 30052-7314
(404) 948-3019
Mailing address
101 REGENCY PARK DR STE 140, MCDONOUGH, GA 30253-7076
(770) 957-8626
(770) 957-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN221959
GA
363L00000X
Nurse Practitioner
Primary
RN221959
GA
Other
Enumeration date
10/01/2013
Last updated
01/27/2026
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