CEDAR KRUESI BROCK BAKER

ATLANTA, GA
NPI1710658430
Former NameCEDAR KRUESI BROCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  11433)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-22
Last Update Date2023-04-18
Business Address
CEDAR KRUESI BROCK BAKER PA-C
275 COLLIER RD NW STE 300
ATLANTA, GA 30309-1740
Phone number: 404-350-0009
Mailing Address
CEDAR KRUESI BROCK BAKER PA-C
1462 CLIFTON RD NE
ATLANTA, GA 30322-1063
Phone number: