Individual
CRYSTAL PHARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 7TH ST APT B, PHENIX CITY, AL 36869-6523
(361) 834-9145
Mailing address
1727 BOXWOOD PL, COLUMBUS, GA 31906-2328
(706) 569-0727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
171W00000X
Contractor
—
—
Other
Enumeration date
06/30/2021
Last updated
03/02/2023
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