| Randy B Cronic, M.d. Pc | |
|
3660 Howell Ferry Rd Building B Duluth GA 30096-3178 | |
| (678) 417-1780 | |
| (678) 417-8825 |
| Full Name | Randy B Cronic, M.d. Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3660 Howell Ferry Rd, Duluth, Georgia |
| Authorized Official Name and Position | Randy Byron Cronic (PRESIDENT) |
| Authorized Official Contact | 6784171780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy B Cronic, M.d. Pc 3660 Howell Ferry Rd Building B Duluth GA 30096-3178 Ph: (678) 417-1780 | Randy B Cronic, M.d. Pc 3660 Howell Ferry Rd Building B Duluth GA 30096-3178 Ph: (678) 417-1780 |
| NPI Number | 1366658692 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062473010 |
|---|---|
| Medicare Enrollment ID | O20041022000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366658692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 038721 (Georgia) | Primary |
| Provider Name | Randy B Cronic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063438679 PECOS PAC ID: 5496716441 Enrollment ID: I20041025000270 |
| Provider Name | Crystal Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780707166 PECOS PAC ID: 1254683717 Enrollment ID: I20181010002796 |
| Provider Name | Stephanie Marla Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346715927 PECOS PAC ID: 0345670782 Enrollment ID: I20210525001906 |
| Provider Name | Rebecca Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376243246 PECOS PAC ID: 9133580988 Enrollment ID: I20230726003929 |
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