Individual
CRYSTAL PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 ASHTON DR, HEPHZIBAH, GA 30815-2803
(706) 945-2759
Mailing address
2802 ASHTON DR, HEPHZIBAH, GA 30815-2803
(706) 945-2759
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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