Individual
MARY MARIA CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 KIMBERLY DR, VALDOSTA, GA 31602-2327
(914) 882-1963
Mailing address
1208 KIMBERLY DR, VALDOSTA, GA 31602-2327
(914) 882-1963
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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