# ALTERGYN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Acupuncture and Injury
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851861660
- **Authorized official:** DR. JAMES ROCHESTER GRANGER III M.D. (M.D./OWNER)
- **Authorized official phone:** (678) 247-2115

## Contact information

- **Practice address:** 1521 JOHNSON FERRY RD STE 135, MARIETTA, GA 30062-6408
- **Practice address phone:** (678) 247-2115
- **Practice address fax:** (404) 393-8059
- **Mailing address:** 1521 JOHNSON FERRY RD STE 135, MARIETTA, GA 30062-6408
- **Mailing address phone:** (678) 247-2115
- **Mailing address fax:** (404) 393-8059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 12/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1073714580 | GENERAL PRACTICE | GA |