Individual
MRS. CRISTA JONTE' IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
772 GREISON TRL STE H, NEWNAN, GA 30263-1498
(678) 423-3330
Mailing address
70 JEFFERSON PKWY APT G, NEWNAN, GA 30263-5855
(270) 853-3516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN270057
GA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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