Provider Demographics
NPI:1821365214
Name:CROSBY, MARVA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARVA
Middle Name:
Last Name:CROSBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 AUGUSTA DR SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8208
Mailing Address - Country:US
Mailing Address - Phone:678-355-9072
Mailing Address - Fax:678-355-9072
Practice Address - Street 1:1711 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-4115
Practice Address - Country:US
Practice Address - Phone:404-767-7474
Practice Address - Fax:404-767-7707
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08750111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition