Individual
CRYSTAL EZELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE T05, ATLANTA, GA 30307-3408
(404) 575-4000
(404) 575-4010
Mailing address
9335 DEER CROSSING VLY, JONESBORO, GA 30236-8013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004349
GA
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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