Annie Josephine Cruz, M.D.
Obstetrics & Gynecology in Stockbridge, GA. Individual provider (NPI-1).
NPI number1104086982
StatusActive
Last updated in NPPESOct 6, 2011
Details
- NPI
- 1104086982
- Entity type
- Individual (NPI-1)
- Name
- Annie Josephine Cruz
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2008
- Last updated
- Oct 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 65352 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
350 Country Club DrSuite D
Stockbridge, GA 30281-9084
Phone 770-474-1919
Mailing address
350 Country Club DriveSuite D
Stockbridge, GA 30281
Phone 678-402-1480
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