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Search › Georgia › 2085R0202X

Keirsun Crockett, MD

NPI 1750678967 · on the registry since 2011

Practice

Address
790 Church St Ne
Marietta, GA 30060
Phone
(678) 239-0420
Organisation at this address
Sleepmed Inc.
Resurgens, Llc
Paradigm Medical Llc
Lacey Drug Co., Inc.
Quantum Radiology, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
168

Additional practice sites

  • 12200 Warwick Blvd, Newport News, VA

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085N0700X
390200000X
Licence states on file
GA, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia