Individual
CRYSTAL MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 697-8899
Mailing address
610 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 697-8899
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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