Provider Demographics
NPI:1265618797
Name:WILLIAM W. CRONE, MD, PC
Entity type:Organization
Organization Name:WILLIAM W. CRONE, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:CRONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-441-1213
Mailing Address - Street 1:3169 HOLCOMB BRIDGE RD STE 760
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1315
Mailing Address - Country:US
Mailing Address - Phone:770-441-1213
Mailing Address - Fax:770-441-1055
Practice Address - Street 1:3169 HOLCOMB BRIDGE RD STE 760
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1315
Practice Address - Country:US
Practice Address - Phone:770-441-1213
Practice Address - Fax:770-441-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041540174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG17973Medicare UPIN