Individual
DR. BRANDON CY GRINAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1545 POWERS FERRY RD SE STE 120, MARIETTA, GA 30067-9401
(770) 580-0979
(678) 383-6735
Mailing address
1545 POWERS FERRY RD SE STE 120, MARIETTA, GA 30067-9401
(770) 580-0979
(678) 383-6735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
068419
GA
208600000X
Surgery Physician
LL31143
SC
Other
Enumeration date
07/03/2008
Last updated
09/08/2024
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