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NPI Code Detail

MEDICARE: MS. CRYSTAL ANN PRESTON-LLOYD NP-C

MEDICARE: MS. CRYSTAL ANN PRESTON-LLOYD NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-NP126112GA
2363L00000XNurse PractitionerRN126112GA

General Provider Information

NPI Number : 1831242544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CRYSTAL ANN PRESTON-LLOYD NP-C
Provider Business Mailing Address
First Line : PO BOX 746765
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6765
Country : US
Telephone Number : 770-814-0116
Fax Number : 770-995-4278
Provider Business Practice Location Address
First Line : 1502 W 3RD ST STE A
Second Line :
City : JACKSON
State : GA
Zip : 30233-1979
Country : US
Telephone Number : 770-914-0116
Fax Number : 770-995-4278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 05/05/2026

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