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Individual

DR. CRYSTAL COOK-MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGAC-DNP

Contact information

Practice address
1419 CLARY CUT RD, HARLEM, GA 30814-3109
(803) 295-3874
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
20501
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
RN211987
GA

Other

Enumeration date
11/03/2016
Last updated
09/11/2020
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