National Provider Identifier Database

DEIDRE D CROCKER, MD – NPI #1790947117
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

DEIDRE D CROCKER, MD
2390 WALL ST SE
CONYERS, GA30013-2150
Phone: 770-922-5696
Fax: 770-922-1065
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X
Pediatrics 208000000X
Public Health & General Preventive Medicine 2083P0901X

* Indicates primary specialty

NPI Profile & details for DEIDRE D CROCKER

NPI Number 1790947117
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 11/10/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 056811
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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