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NPI Profile for KEIRSUN CROCKETT in MARIETTA, GA.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Neuroradiology |
2085N0700X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1750678967 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/08/2011 | |
| Last updated | 02/21/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KEIRSUN CROCKETT
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KEIRSUN CROCKETT, MD