Dr. Crystal Mizell
Optometrist
2030 Cumming Hwy Ste 106
Canton
, Georgia 30115-8009
Dr. Crystal Mizell
Optometrist
2030 Cumming Hwy Ste 106
Canton
, Georgia 30115-8009
(678) 493-4832
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Crystal Mizell
- 2030 Cumming Hwy Ste 106
- Canton, GA
- Zip : 30115-8009
- Fax : (678) 493-4832
- Phone : (678) 493-2220
Second Address
- Dr. Crystal Mizell
- 2030 Cumming Hwy Ste 106
- Canton, GA
- Zip : 30115-8009
- Fax : (678) 493-4832
- Phone : (678) 493-2220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002725 | GA |
National Provider Identifier
| NPI | 1013261288 |
|---|---|
| Provider Name | Dr. Crystal Mizell |
| First Address | Canton, GA 30115-8009 |
| Second Address | Canton, GA 30115-8009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2012 |
| Last Update Date | 01/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.