Individual
KRYSTAL D AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO, CNA
Contact information
Practice address
1968 CLINTON RD, MACON, GA 31211-1653
(724) 513-1322
Mailing address
1968 CLINTON RD, MACON, GA 31211-1653
(724) 513-1322
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
20011273
PA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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