Organization
JOSEPH P KROPP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY MYRICK (OFFICE MANAGER)
(912) 489-8787
Entity
Organization
Contact information
Practice address
108 S ZETTEROWER AVE, STATESBORO, GA 30458-4816
(912) 498-8787
(912) 489-6603
Mailing address
108 S ZETTEROWER AVE, STATESBORO, GA 30458-4816
(912) 498-8787
(912) 489-6603
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PSY0011702
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000596703A
—
GA
Enumeration date
10/03/2012
Last updated
10/03/2012
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