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Individual

WILLIAM GEORGE GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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