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NPI Code Detail

MEDICARE: NATALIA N CROOM

MEDICARE: NATALIA N CROOM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2204000609VA

General Provider Information

NPI Number : 1063011914
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA N CROOM
Provider Business Mailing Address
First Line : 2725 HAMILTON MILL RD STE 500
Second Line :
City : BUFORD
State : GA
Zip : 30519-6010
Country : US
Telephone Number : 770-765-7721
Fax Number :
Provider Business Practice Location Address
First Line : 1350 SCENIC HWY N STE 266
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-7924
Country : US
Telephone Number : 770-765-7721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2020
Last Update Date : 12/27/2025

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Directions to “ NATALIA N CROOM ” Practice Location

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