Individual
DR. DANIEL CRAIG GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096-4506
(770) 931-6220
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037223
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00588024E
—
GA
Enumeration date
02/15/2007
Last updated
01/13/2022
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