Individual
CRYSTAL DANIELLE ELSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1875 FANT DR, FT OGLETHORPE, GA 30742-3307
(706) 861-3387
(706) 806-1117
Mailing address
1875 FANT DR, FT OGLETHORPE, GA 30742-3307
(706) 861-3387
(706) 806-1117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072266
GA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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