Individual
ELISHIA KATHLEEN CRUMWELL-MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Mailing address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN302384
GA
Other
Enumeration date
10/23/2019
Last updated
10/09/2025
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