Cooksey, Crit Reon

Cooksey, Crit Reon is an sole proprietor health care provider with primary practice located at 3827 Roswell Road Suite 100B, Marietta GA 30062-6262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cooksey, Crit Reon can be contacted via phone (678) 290-3396.

Contact Information

Primary practice address
3827 Roswell Road Suite 100B Marietta GA 30062-6262
Phone: (678) 290-3396
Fax: (770) 579-0669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 038452 Georgia

Profile Details

NPI number 1699838045
LBN Legal business name Cooksey, Crit Reon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jun 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699838045 NPPES
Georgia MEDICAID 000711829D
Georgia Other GRP2111

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