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Individual

DR. JAMES CLINTON CRONAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 MCCLURE BRIDGE RD, BUILDING B201, DULUTH, GA 30096-6675
(678) 957-8801
(678) 957-8804
Mailing address
3400 MCCLURE BRIDGE RD, BUILDING B201, DULUTH, GA 30096-6675
(678) 957-8801
(678) 957-8804

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
28757
GA
208200000X
Plastic Surgery Physician
G86208
CA
208600000X
Surgery Physician
Primary
028757
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871688317
BCBS
GA
05
308535506A
GA
05
470376583-24
NE
01
N534531
WELLCARE
GA
Enumeration date
10/03/2006
Last updated
11/04/2008
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