Individual provider · Type 1 NPI

Crystal Vanesa Ayazo, MD

Student in an Organized Health Care Education/Training Program · Braselton, GA

NPI number 1134823974 Active

Practice location

1515 River Pl Ste 200
Braselton, GA 30517-5603

Call (770) 848-6140 Map

Mailing address

743 Spring St NE Rear 710
Gainesville, GA 30501-3899

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1134823974

Crystal Vanesa Ayazo, MD's National Provider Identifier is 1134823974, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Braselton, GA. The record was last updated on Mar 27, 2023.