Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEIDRE DENISE CROCKER, MD
ActiveDR. DEIDRE DENISE CROCKER, MD is a Allergy & Immunology healthcare provider located in CONYERS, Georgia. NPI 1790947117 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · CONYERS, GA
Registration Details
- NPI Number
- 1790947117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2008 (18.156533138831 yrs)
- Last Updated
- Nov 10, 2011
- Licenses
-
056811 (GA)056811 (GA)056811 (GA)
Practice Information
- Address
-
2390 WALL ST SECONYERS, GA, 300132150Browse GA providers · Browse ZIP 30013
- Phone
- 7709225696
- Fax
- 7709221065
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Public Health & General Preventive Medicine
- Additional Specialty
- Allergy & Immunology
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.