Individual
EMMA C CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 890-3553
Mailing address
14360 COUNTY SHOP RD, DARLINGTON, WI 53530-9249
(608) 482-4323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004199
GA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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