Crystal Harris Lovvorn, PA-C

NPI #1548409097 in Bremen, Georgia

Provider Information

NPI Number: 1548409097
Entity Type: Individual
Name: Crystal Harris Lovvorn, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 6, 2009
Last Updated: May 20, 2010

Practice Location

Address: 200 ALLEN MEMORIAL DR
City: Bremen
State: Georgia
ZIP Code: 30110-2012
Phone: (770) 824-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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