Individual
CRIT REON COOKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3827 ROSWELL ROAD, SUITE 100B, MARIETTA, GA 30062-6262
(678) 290-3396
(770) 579-0669
Mailing address
3827 ROSWELL ROAD, SUITE 100B, MARIETTA, GA 30062-6262
(678) 290-3396
(770) 579-0669
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
038452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000711829D
—
GA
01
—
GRP2111
GROUP MEDICARE PIN
—
Enumeration date
12/18/2006
Last updated
06/24/2011
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