Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Wormack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588554430

Crystal Wormack is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

720 Westview Dr SW
Atlanta, GA 30310-1458
Phone: (404) 752-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1588554430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address730 Glenwood Ave Se Apt 142, Atlanta, GA 30312-3470

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