Individual
CRYSTAL M INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 CHESTNUT ST, ELBERTON, GA 30635-1806
(706) 213-2048
(706) 213-2026
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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