Individual
TIANNA COSIMA CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
135 BRADFORD SQ STE B, FAYETTEVILLE, GA 30215-1902
(470) 646-3738
Mailing address
115 LAKEMONT CIR, FAYETTEVILLE, GA 30215-2362
(404) 660-8527
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264565
GA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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