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

MISS CRYSTAL V SMALL, ATC

Active

MISS CRYSTAL V SMALL, ATC is a Athletic Trainer healthcare provider located in FORT VALLEY, Georgia. NPI 1871618231 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT VALLEY, GA

Registration Details

NPI Number
1871618231
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2007 (19.392447055184 yrs)
Last Updated
Feb 21, 2008
License
AT001359 (GA)

Practice Information

Address
1005 STATE UNIVERSITY DR
DEPARTMENT OF ATHLETICS
FORT VALLEY, GA, 310304313
Browse GA providers · Browse ZIP 31030
Phone
4788256195
Fax
4788256886
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FORT VALLEY, GA

Name Credential NPI
MR. JORDAN DORRIEN ATC 1558739128
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.