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Individual

KRYSTINA ANNE CARRINO-MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
117 W BROAD ST, LOUISVILLE, GA 30434-1627
(478) 625-8855
Mailing address
117 W BROAD ST, LOUISVILLE, GA 30434-1627
(478) 625-8855

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT007683
GA

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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