# NEIL K GROFF MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538180179
- **Authorized official:** DR. NEIL K GROFF MD. (PHYSICIAN)
- **Authorized official phone:** (770) 554-4717

## Contact information

- **Practice address:** 115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
- **Practice address phone:** (770) 554-4717
- **Practice address fax:** (770) 554-4681
- **Mailing address:** 115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
- **Mailing address phone:** (770) 554-4717
- **Mailing address fax:** (770) 554-4681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 038504 | GA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 02/25/2008