Dr Crystal James, DC | |
5555 Glenridge Connector Ste 200, Atlanta, GA 30342-4815 | |
(336) 306-6937 | |
Not Available |
Full Name | Dr Crystal James |
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Gender | Female |
Speciality | Chiropractor |
Location | 5555 Glenridge Connector Ste 200, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417637836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010865 (Georgia) | Primary |
Provider Name | Life University, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902033343 PECOS PAC ID: 7214927284 Enrollment ID: O20210421000480 |
Mailing Address | Practice Location Address |
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Dr Crystal James, DC 5555 Glenridge Connector Ste 200, Atlanta, GA 30342-4815 Ph: (336) 306-6937 | Dr Crystal James, DC 5555 Glenridge Connector Ste 200, Atlanta, GA 30342-4815 Ph: (336) 306-6937 |
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