Cruz, Annie Josephine

Cruz, Annie Josephine is an individual health care provider with primary practice located at 350 Country Club Dr Suite D, Stockbridge GA 30281-9084. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Cruz, Annie Josephine can be contacted via phone (770) 474-1919.

Contact Information

Primary practice address
350 Country Club Dr Suite D Stockbridge GA 30281-9084
Phone: (770) 474-1919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 65352 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104086982
LBN Legal business name Cruz, Annie Josephine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2008
Last updated Oct 6th, 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 1104086982 NPPES
Georgia MEDICAID 003108322A

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