Search › Georgia › 156FX1800X
Crystal Fuller, LDO, ABOC, NCLEC
NPI 1912725060 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3068 Cotton Indian Cir
Ellenwood, GA 30294 - Phone
- (404) 824-8261
- Fax
- (770) 719-4392
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-27
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