Individual
DR. GARY G CROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
217 BOBBY JONES EXPY, AUGUSTA, GA 30907-5255
(706) 860-1171
(706) 860-1841
Mailing address
217 BOBBY JONES EXPY, AUGUSTA, GA 30907-5255
(706) 860-1171
(706) 860-1841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52540781004
BCBS
GA
05
—
DAG983
—
SC
05
—
DPG717
—
SC
01
—
GA0717
EYEMED
GA
Enumeration date
10/24/2006
Last updated
07/09/2007
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