Organization
GEORGIA PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE MICHELE CRUSOR M.D. (OWNER)
(770) 901-9303
Entity
Organization
Contact information
Practice address
6010 DAWSON BLVD, SUITE A-2, NORCROSS, GA 30093-1225
(770) 901-9303
(770) 901-9332
Mailing address
6010 DAWSON BLVD, SUITE A-2, NORCROSS, GA 30093-1225
(770) 901-9303
(770) 901-9332
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
6027
GA
207Q00000X
Family Medicine Physician
Primary
060820
GA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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