Individual
KAY R. CROSBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6181
Mailing address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00375867A
—
GA
Enumeration date
11/29/2005
Last updated
07/08/2007
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