Individual
DR. IAN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, SUITE A1300, ATLANTA, GA 30322-1013
(404) 778-3473
Mailing address
1365 CLIFTON RD NE, SUITE A1300, ATLANTA, GA 30322-1013
(404) 778-3473
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
028391
GA
Other
Enumeration date
07/29/2006
Last updated
11/07/2012
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