Healthcare Provider Details

I. General information

NPI: 1912161381
Provider Name (Legal Business Name): HYACINTH DENNIS-CROOKS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3772 CHEROKEE ST NW
KENNESAW GA
30144-2080
US

IV. Provider business mailing address

3772 CHEROKEE ST NW
KENNESAW GA
30144-2080
US

V. Phone/Fax

Practice location:
  • Phone: 404-432-5242
  • Fax:
Mailing address:
  • Phone: 404-432-5242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberNP136934
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: