Individual
JASON DAVID GRABROVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041-6012
(770) 886-8111
(770) 205-8539
Mailing address
1100 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041-6012
(770) 886-8111
(770) 205-8539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174320964C
—
GA
Enumeration date
08/19/2005
Last updated
03/21/2013
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