Individual
ROBERT J CRISCUOLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3331 N VALDOSTA RD, VALDOSTA, GA 31602
(229) 247-2211
(229) 247-9313
Mailing address
3331 N VALDOSTA RD, VALDOSTA, GA 31602
(229) 247-2211
(229) 247-9313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
053436
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
053436
GA
Other
Enumeration date
01/03/2006
Last updated
09/11/2025
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