Individual
DR. KRISTINA LYNN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1043 WASHINGTON RD, THOMSON, GA 30824-8140
(706) 595-1461
(706) 597-9824
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83698
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83698
LICENSE
GA
Enumeration date
06/12/2018
Last updated
10/25/2024
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