MOLLY LATIMER CROOK NP NPI 1063702124

NPI Information

NPI: 1063702124
Provider Name: MOLLY LATIMER CROOK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5356 REYNOLDS ST
STE 505
SAVANNAH, GA
ZIP 31405
Phone: (912) 356-1515
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Molly Latimer Crook, NP is a family nurse practitioner in Savannah, GA. Molly Latimer Crook, NP NPI is 1063702124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5356 REYNOLDS ST
STE 505
SAVANNAH, GA
ZIP 31405-016
Phone: (912) 356-1515
Fax: (912) 644-0756

The NPI 1063702124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 4/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN178137	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN178137 NP	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202I509015	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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