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Individual
DR. GARY PRUSKY GRINBERG
Active
Individual
DR. GARY PRUSKY GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10974
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
92304
GA
Other
Enumeration date
05/28/2019
Last updated
04/17/2023
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