SearchGeorgia343900000X

Crystal Brantley

NPI 1053731539 · on the registry since 2014 · sole proprietor

Practice

Address
170 Glace Rd
College Park, GA 30349
Phone
(404) 503-6483
Organisation at this address
To & From Transportation Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia