Individual
WILLIAM GEORGE GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 SHRINE RD, SUITE 450, BRUNSWICK, GA 31520-4744
(912) 264-6133
(912) 267-1415
Mailing address
3025 SHRINE RD, SUITE 450, BRUNSWICK, GA 31520-4744
(912) 264-6133
(912) 267-1415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
016606
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
016606
GA
207RN0300X
Nephrology Physician
Primary
016606
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000132965A
—
GA
Enumeration date
08/01/2006
Last updated
11/06/2020
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