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General NPI Number Information
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NPI Number | 1568322105
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Entity Type | Organization
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Legal Business Name | CRISWELL MEDICAL LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 36 TRAMMELL ST SW STE 101
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City | MARIETTA
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State | GA
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Zip | 30064-7209
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Country | US
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Telephone | 770-779-8173
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Fax | 478-226-4159
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Provider Business Mailing Address
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Address Line | 36 TRAMMELL ST SW STE 101
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City | MARIETTA
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State | GA
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Zip | 30064-7209
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Country | US
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Telephone | 770-779-8173
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Fax | 478-226-4159
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Authorized Official
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Title or Position | CO-OWNER
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Name | ANNDREA MARIE LAMPKIN
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Credential | NP
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Telephone | 478-365-9681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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