Individual
CRYSTAL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.M.
Contact information
Practice address
701 E ROOSEVELT BLVD, BUILDING 200 SUITE B, MONROE, NC 28112-5170
(704) 291-2218
(704) 291-2241
Mailing address
993 BRAXTON DR, CONCORD, NC 28025-6824
(704) 788-7764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702811
—
NC
05
—
7795312
—
NC
Enumeration date
04/06/2007
Last updated
07/09/2007
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