Provider Demographics
NPI:1639879356
Name:WORTHY, CRYSHENDA T
Entity Type:Individual
Prefix:
First Name:CRYSHENDA
Middle Name:T
Last Name:WORTHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 CORPORATE POINTE STE 302
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-3441
Mailing Address - Country:US
Mailing Address - Phone:478-241-2136
Mailing Address - Fax:478-241-2140
Practice Address - Street 1:1000 CORPORATE POINTE STE 302
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-3441
Practice Address - Country:US
Practice Address - Phone:478-241-2136
Practice Address - Fax:478-241-2140
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management