Individual
CRYSTALINE JOI PROTHRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(866) 389-2727
Mailing address
4010 BRYCE MANOR LN, DECATUR, GA 30034-6256
(770) 912-9830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN233492
GA
Other
Enumeration date
10/09/2020
Last updated
02/28/2025
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