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Individual

BETTY CRISP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1319 W BROAD AVE, ALBANY, GA 31707-4343
(844) 912-5483
Mailing address
1319 W BROAD AVE, ALBANY, GA 31707-4343
(844) 912-5483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN093187
GA

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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