Individual
KAYLIE CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11766 HIGHWAY 27, SUMMERVILLE, GA 30747-5989
(706) 857-1010
Mailing address
11766 HIGHWAY 27, SUMMERVILLE, GA 30747-5989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN286981
GA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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