Crystal R Dininger, PA
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1073785366
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1073785366
- Entity type
- Individual (NPI-1)
- Name
- Crystal R Dininger
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2008
- Last updated
- Jan 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1669 | GA | Yes |
Practice location
960 Johnson Ferry RdSte 100
Atlanta, GA 30342-1631
Phone 404-252-9063 · Fax 404-252-0873
Mailing address
960 Johnson Ferry RdSte 100
Atlanta, GA 30342-1631
Phone 404-252-9063 · Fax 404-252-0873
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