Individual
CRYSTAL BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2192 INGLESIDE AVE, MACON, GA 31204-2030
(478) 336-5030
(478) 254-3146
Mailing address
2192 INGLESIDE AVE, MACON, GA 31204-2030
(478) 336-5030
(478) 254-3146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227441
GA
Other
Enumeration date
04/14/2017
Last updated
10/09/2025
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