Kroll, Jerry Stephen

Kroll, Jerry Stephen is an sole proprietor health care provider with primary practice located at 5445 Meridian Marks Rd Ne Suite 250, Atlanta GA 30342-4763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kroll, Jerry Stephen can be contacted via phone (404) 255-1933.

Contact Information

Primary practice address
5445 Meridian Marks Rd Ne Suite 250 Atlanta GA 30342-4763
Phone: (404) 255-1933
Fax: (404) 256-7924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 062735 Georgia

Profile Details

NPI number 1386837896
LBN Legal business name Kroll, Jerry Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2007
Last updated Aug 7th, 2012 - 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 1386837896 NPPES
Georgia MEDICAID 686909673C

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