Individual
CHERYL JEANNETTA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4485 S COBB DR SE STE 100, SMYRNA, GA 30080-6957
(404) 768-1133
(404) 768-0309
Mailing address
4485 S COBB DR SE STE 100, SMYRNA, GA 30080-6957
(404) 768-1133
(404) 768-0309
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN151533
GA
Other
Enumeration date
03/16/2020
Last updated
11/05/2020
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