# MRS. DEANA LEE GROGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962667436
- **Gender:** F
- **Credential:** PA/AA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 005379 | GA | Yes |
| 367H00000X | Anesthesiologist Assistant | — | — | — |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 06/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 554654 | WELLCARE | GA |
| 01 | — | 580628385 | TRICARE | GA |
| 05 | — | 843004781C | — | GA |
| 05 | — | 843004781D | — | GA |
| 01 | — | P00847169 | RAILROAD MEDICARE | GA |