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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699838045 | NPPES |
| Georgia | MEDICAID | 000711829D | |
| Georgia | Other | GRP2111 |
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