Provider Demographics
NPI:1881804391
Name:ANDREWS-ROBERTSON, CRYSTAL ANN (DC)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:ANN
Last Name:ANDREWS-ROBERTSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CRYSTAL
Other - Middle Name:ANN
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:520 CANTON ROAD
Mailing Address - Street 2:SUITE#520
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066
Mailing Address - Country:US
Mailing Address - Phone:770-795-0506
Mailing Address - Fax:770-795-0392
Practice Address - Street 1:3358 GALLEON DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-0602
Practice Address - Country:US
Practice Address - Phone:404-446-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006451174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist