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Mrs. Crystal Vanesa Ayazo, MD
Student in an Organized Health Care Education/Training Program in Braselton, Georgia
NPI 1134823974

Crystal Vanesa Ayazo is a Student in an Organized Health Care Education/Training Program based in Gainesville, GA. Crystal Vanesa Ayazo practices in Braselton, GA and has the professional credentials of MD. The NPI Number for Crystal Vanesa Ayazo is 1134823974 and holds a License No. (Georgia).

The current practice location address for Crystal Vanesa Ayazo is 1515 River Pl Ste 200, Braselton, GA and can be reached out via phone at 770-848-6140.

Location: 1515 River Pl Ste 200, Braselton, GA, 30501-3899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134823974
Provider Name
Crystal Vanesa Ayazo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1515 River Pl Ste 200, Braselton, GA, 30501-3899
Phone Number
770-848-6140
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1515 River Pl Ste 200
City
Braselton
State
Georgia
Zip
30517-5603
Phone Number
770-848-6140
Fax Number
person
Provider Business Mailing Address Details
Address
1515 River Pl Ste 200
City
Braselton
State
Georgia
Zip
30517-5603
Phone Number
770-848-6140
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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