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Organization
PATRONUS PHYSICIANS GROUP PC
Active
Organization
PATRONUS PHYSICIANS GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY GRAINGER (CEO)
(404) 822-4823
Entity
Organization
Contact information
Practice address
8000 TOWERS CRESCENT DR, SUITE 1350, VIENNA, VA 22182-6207
(866) 450-1918
Mailing address
8000 TOWERS CRESCENT DR, SUITE 1350, VIENNA, VA 22182-6207
(866) 450-1918
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
—
NULL
2084V0102X
Vascular Neurology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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