Individual
ANNIE JOSEPHINE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 COUNTRY CLUB DR, SUITE D, STOCKBRIDGE, GA 30281-9084
(770) 474-1919
Mailing address
350 COUNTRY CLUB DRIVE, SUITE D, STOCKBRIDGE, GA 30281
(678) 402-1480
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65352
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108322A
—
GA
Enumeration date
06/14/2008
Last updated
10/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us