Malvoisin, Crystal Mercia
Malvoisin, Crystal Mercia is an individual health care provider with primary practice located at 4905 Courtney Dr , Forest Park GA 30297-1427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Malvoisin, Crystal Mercia can be contacted via phone (404) 366-3636.Contact Information
Primary practice address
4905 Courtney Dr
Forest Park GA 30297-1427
Phone: (404) 366-3636
Fax: (404) 362-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0076080 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 076903 | Georgia |
Profile Details
| NPI number | 1588983514 |
|---|---|
| LBN Legal business name | Malvoisin, Crystal Mercia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2010 |
| Last updated | Apr 29th, 2021 - about 5 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.
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