Crooker, Christopher Scott

Crooker, Christopher Scott is an sole proprietor health care provider with primary practice located at 748 Old Norcross Rd Suite 185, Lawrenceville GA 30045-3393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Crooker, Christopher Scott can be contacted via phone (770) 277-8554.

Contact Information

Primary practice address
748 Old Norcross Rd Suite 185 Lawrenceville GA 30045-3393
Fax: (770) 277-1799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 039315 Georgia

Profile Details

NPI number 1609801018
LBN Legal business name Crooker, Christopher Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jan 30th, 2009 - about 17 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 1609801018 NPPES
Georgia MEDICAID 00756104B
Georgia Other 970027535

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