Individual
MR. WILLARD ROBERT GRABENKORT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3900
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1826
GA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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