Individual
CRYSTAL CASSIMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 727-4018
Mailing address
2015 UPPERGATE DR. ATLANTA, ATLANTA, GA 30307
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
V4645
TX
208D00000X
General Practice Physician
V4645
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2017
Last updated
08/06/2025
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