Deidre Crocker, MD

Individual Active
NPI 1790947117
Allergy & Immunology Physician Conyers, GA

Deidre Crocker, MD is an allergy & immunology physician practicing in Conyers, GA. The NPI was issued on June 26, 2008, and the record was last updated in NPPES on November 10, 2011. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X 056811 (GA)
Pediatrics Physician 208000000X 056811 (GA)
Public Health & General Preventive Medicine Physician 2083P0901X 056811 (GA)

Practice location

2390 Wall St SE
Conyers, GA 30013-2150
Phone: (770) 922-5696

Local context

Active NPPES records list 27 providers with allergy & immunology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 157 in Georgia and 5,559 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Deidre Denise Crocker
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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