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Individual
BRIAN C GRINER
Active
Individual
BRIAN C GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046966
GA
208000000X
Pediatrics Physician
Primary
046966
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000819706C
—
GA
05
—
000819706D
—
GA
05
—
000819706E
—
GA
05
—
003138857A
—
GA
05
—
875175410A
—
GA
05
—
901359126A
—
GA
05
—
901359126B
—
GA
Enumeration date
06/28/2006
Last updated
11/27/2023
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