Individual
CRYSTAL RENNIS-FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PAVILION PKWY, FAYETTEVILLE, GA 30214-4098
(770) 460-0726
Mailing address
475 HAVEN RIDGE DRIVE, STOCKBRIDGE, GA 30281-7906
(727) 729-0367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024726
GA
Other
Enumeration date
11/10/2020
Last updated
04/28/2021
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