Individual
CRYSTAL WINKLES BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 CHEROKEE ST NW STE 401, KENNESAW, GA 30144-6787
(770) 429-1005
Mailing address
642 ROSALIA ST SE, ATLANTA, GA 30312-3447
(404) 867-6422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202529450
GA
Other
Enumeration date
04/04/2025
Last updated
04/09/2025
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