Crenshaw, Annette Mock
Crenshaw, Annette Mock is an sole proprietor health care provider with primary practice located at 215 Jep Wheeler Rd , Woodstock GA 30188-6501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Crenshaw, Annette Mock can be contacted via phone (678) 923-1088.Contact Information
Primary practice address
215 Jep Wheeler Rd
Woodstock GA 30188-6501
Phone: (678) 923-1088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1700118353 |
|---|---|
| LBN Legal business name | Crenshaw, Annette Mock |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2010 |
| Last updated | Feb 8th, 2010 - 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 | 1700118353 | NPPES |
| Georgia | MEDICAID | 720022501A |
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