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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CRYSTAL MOORE-MAXWELL, MD/PHD

Active Sole Proprietor

DR. CRYSTAL MOORE-MAXWELL, MD/PHD is a Clinical Medical Laboratory healthcare provider located in CHESAPEAKE, Virginia. NPI 1427246180 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · CHESAPEAKE, VA

Registration Details

NPI Number
1427246180
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2007 (18.829989553991 yrs)
Last Updated
Oct 9, 2007
License
0101239410 (VA)
Sole Proprietor
Yes

Practice Information

Address
919 COPPER STONE CIR
CHESAPEAKE, VA, 233208270
Browse VA providers · Browse ZIP 23320
Phone
7572867116
Fax
7578197896
Primary Specialty
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.