Organization
HEALING ROOTS FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HANCOCK FNP (OWNER)
(706) 657-4985
Entity
Organization
Contact information
Practice address
111 N PINE ST, TRENTON, GA 30752-2503
(706) 657-4985
Mailing address
111 N PINE ST, TRENTON, GA 30752-2503
(706) 657-4985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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