Individual
MRS. CYNTHIA A SIMON KROGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5455 MERIDIAN MARK RD NE, STE 400, ATLANTA, GA 30342
(404) 785-3240
(404) 785-3600
Mailing address
9805 COVENTRY LN, ALPHARETTA, GA 30022
(770) 667-3967
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R107668
GA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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