Diana R Senior-crosby, NP | |
150 Locust St Ne, Atlanta, GA 30317-1011 | |
(404) 376-4745 | |
Not Available |
Full Name | Diana R Senior-crosby |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 150 Locust St Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790802015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN155684 (Georgia) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
---|---|
Diana R Senior-crosby, NP 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 778-7717 | Diana R Senior-crosby, NP 150 Locust St Ne, Atlanta, GA 30317-1011 Ph: (404) 376-4745 |
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