SearchGeorgia106S00000X

Amia Crockett

NPI 1417879107 · on the registry since 2026

Practice

Address
7777 Tara Rd
Jonesboro, GA 30236
Phone
(770) 800-5655

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia