Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEIRSUN CROCKETT, MD
ActiveKEIRSUN CROCKETT, MD is a Diagnostic Radiology healthcare provider located in MARIETTA, Georgia. NPI 1750678967 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · MARIETTA, GA
Registration Details
- NPI Number
- 1750678967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2011 (15.107132702781 yrs)
- Last Updated
- Feb 21, 2024
- Licenses
-
077719 (GA)0116023629 (VA)077719 (GA)
Practice Information
- Address
-
790 CHURCH ST NEMARIETTA, GA, 300607282Browse GA providers · Browse ZIP 30060
- Phone
- 6782390420
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL KEVIN COLLINS | MD | 1386633238 |
| DR. ARTHUR L MULICK | MD | 1447232491 |
| DR. KIMBERLY A SPENCER | MD | 1326020785 |
| TIMOTHY STEVENS HANES | M.D. | 1104804301 |
| MICHAEL J JURGENS | MD | 1649244294 |
| JOHN D GRATTAN-SMITH | MD | 1548234933 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.