Individual
RACHEL TERAE CRONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4340 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 333-9736
(229) 333-0225
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN127392
GA
Other
Enumeration date
08/05/2016
Last updated
11/20/2020
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