Provider Demographics
NPI:1154357069
Name:CRITZ, FRANCES ANN (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:ANN
Last Name:CRITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:CRAWFORD LONG HOSPTIAL
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308
Mailing Address - Country:US
Mailing Address - Phone:404-626-2694
Mailing Address - Fax:404-626-4631
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:CRAWFORD LONG HOSPTIAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-626-2694
Practice Address - Fax:404-626-4631
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0225352080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D45148Medicare UPIN
GA37BBDQQMedicare ID - Type Unspecified