Hood, Crystal Berry
Hood, Crystal Berry is an sole proprietor health care provider with primary practice located at 1506 Klondike Rd Sw Suite 205, Conyers GA 30094-5173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hood, Crystal Berry can be contacted via phone (678) 750-3010.Contact Information
Primary practice address
1506 Klondike Rd Sw Suite 205
Conyers GA 30094-5173
Phone: (678) 750-3010
Fax: (770) 696-2911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 058813 | Georgia |
Profile Details
| NPI number | 1528129251 |
|---|---|
| LBN Legal business name | Hood, Crystal Berry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 1st, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528129251 | NPPES |
| Georgia | MEDICAID | 408365264B |
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