DEIDRE DENISE CROCKER

CONYERS, GA
NPI1790947117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: GA  056811)
Additional Taxonomies208000000X Pediatrics
(Licence: GA  056811)
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: GA  056811)
Enumeration Date2008-06-26
Last Update Date2011-11-10
Business Address
Dr. DEIDRE DENISE CROCKER MD
2390 WALL ST SE
CONYERS, GA 30013-2150
Phone number: 770-922-5696
Mailing Address
Dr. DEIDRE DENISE CROCKER MD
2390 WALL ST SE
CONYERS, GA 30013-2150
Phone number: 770-922-5696