Individual
KRYSTAL D TOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8793
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8793
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000649844I
DBHDD
GA
Enumeration date
10/20/2017
Last updated
06/16/2018
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