Individual
CRYSTAL R DININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
960 JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Mailing address
960 JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1669
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135882A
—
GA
Enumeration date
03/27/2008
Last updated
01/25/2017
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