Individual provider · Type 1 NPI

Keirsun Crockett, MD

Diagnostic Radiology Physician · Marietta, GA

NPI number 1750678967 Active

Practice location

790 Church St NE
Marietta, GA 30060-7282

Call (678) 239-0420 Map

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Other practice locations

  • 12200 Warwick Blvd, Suite 490A, Newport News, VA 23601-2344 · (757) 534-6111

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700X077719 (GA)
Student in an Organized Health Care Education/Training Program 390200000X0116023629 (VA)
Diagnostic Radiology Physician Primary 2085R0202X077719 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

90 other providers at this address

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About NPI 1750678967

Keirsun Crockett, MD's National Provider Identifier is 1750678967, issued on Jul 8, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Marietta, GA. The record was last updated on Feb 21, 2024.