Individual
CRYSTAL D HALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1241 HELEN HWY STE 210, CLEVELAND, GA 30528-6938
(706) 865-2191
(706) 865-7745
Mailing address
PO BOX 1515, CLEVELAND, GA 30528-0028
(706) 865-4278
(706) 865-7745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN061915
GA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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