Crystal Small, ATC

NPI 1871618231 · on the registry since 2007

Practice

Address: 1005 State University Dr
Department Of Athletics
Fort Valley, GA 31030
Phone: (478) 825-6195
Fax: (478) 825-6886
Organisation at this address: Macon Occupational Medicine
Fort Valley State University
Health Services Of Central Georgia, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-02-21

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