Jerry Stephen Kroll in Atlanta - Sports Medicine
Jerry Stephen Kroll - NPI 1386837896
Jerry Stephen Kroll is a Sports Medicine in Atlanta, Georgia. Jerry Stephen Kroll practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jerry Stephen Kroll is 1386837896. The last update date is 2012-08-07.
Jerry Stephen Kroll's current location address is 5445 Meridian Marks Rd Ne Ste 250, Atlanta, Georgia. You can contact this provider via phone number 4042551933 and fax number 4042567924. The mailing address for Jerry Stephen Kroll is 5445 Meridian Marks Rd Ne Ste 250, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Stephen Kroll |
|---|---|
| Address | 5445 Meridian Marks Rd Ne Ste 250, Atlanta, Georgia |
| Phone Number | 4042551933 |
| Fax Number | 4042567924 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386837896 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2012-08-07 |
Provider Mailing Address Detail
| Address | 5445 Meridian Marks Rd Ne Ste 250 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303424767 |
| Phone Number | 4042551933 |
| Fax Number | 4042567924 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | 62735 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 686909673C | GA | -- |
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What is the unique identifier code issued to Jerry Stephen Kroll by the Centers for Medicare & Medicaid Services?
The Jerry Stephen Kroll has been assigned the NPI (National Provider Identifier) 1386837896. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry Stephen Kroll's physical address?
The Jerry Stephen Kroll is physically located at 5445 Meridian Marks Rd Ne Ste 250, in the city of Atlanta, GA, with the postal code 303424767.
What is Jerry Stephen Kroll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Stephen Kroll is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080S0010X.
On what date did Jerry Stephen Kroll receive its 1386837896 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Stephen Kroll was assigned its 1386837896 on 2007-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jerry Stephen Kroll's information last updated?
The Jerry Stephen Kroll's information was last updated on 2012-08-07.