Individual
DR. JERRY STEPHEN KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5445 MERIDIAN MARKS RD NE, SUITE 250, ATLANTA, GA 30342-4763
(404) 255-1933
(404) 256-7924
Mailing address
5445 MERIDIAN MARKS RD NE STE 250, ATLANTA, GA 30342-4767
(404) 255-1933
(404) 256-7924
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
062735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686909673C
—
GA
Enumeration date
08/20/2007
Last updated
08/07/2012
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