Individual
MRS. CRYSTAL CLARK SEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
3400 OLD MILTON PKWY STE C500, ALPHARETTA, GA 30005
(678) 775-2284
(678) 775-2285
Mailing address
6600 PEACHTREE DUNWOODY RD BLD 600, STE 325, ATLANTA, GA 30328
(404) 876-1906
(404) 256-8506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005269
GA
Other
Enumeration date
02/26/2008
Last updated
12/16/2020
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