SearchGeorgia156FX1800X

Krystal Penley, LDO

NPI 1932771219 · on the registry since 2021 · sole proprietor

Practice

Address
346 N Grady Street
Portal, GA 30450
Phone
(912) 536-9451

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
2021-07-15

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