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Annie Josephine Cruz, MD
Student in an Organized Health Care Education/Training Program in Stockbridge, Georgia
NPI 1104086982

Annie Josephine Cruz is a Student in an Organized Health Care Education/Training Program based in Stockbridge, GA. Annie Josephine Cruz practices in Stockbridge, GA and has the professional credentials of MD. The NPI Number for Annie Josephine Cruz is 1104086982 and holds a License No. 65352 (Georgia).

The current practice location address for Annie Josephine Cruz is 350 Country Club Dr, Stockbridge, GA and can be reached out via phone at 770-474-1919.

Location: 350 Country Club Dr, Stockbridge, GA, 30281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104086982
Provider Name
Annie Josephine Cruz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
350 Country Club Dr, Stockbridge, GA, 30281
Phone Number
770-474-1919
Fax Number
Provider Enumeration Date
06/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003108322A 05 GA
institution
Provider Business Practice Location Address Details
Address
350 Country Club Dr
City
Stockbridge
State
Georgia
Zip
30281-9084
Phone Number
770-474-1919
Fax Number
person
Provider Business Mailing Address Details
Address
350 Country Club Dr
City
Stockbridge
State
Georgia
Zip
30281-9084
Phone Number
770-474-1919
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
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Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
65352 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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