Individual
BONNIE LEIGH CRUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 712-2000
Mailing address
4405 PEMBERTON CV, ALPHARETTA, GA 30022-6345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12445
GA
207R00000X
Internal Medicine Physician
Primary
93811
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2017
Last updated
05/04/2023
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