Individual
DR. JEFFREY S GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE G-99, ATLANTA, GA 30342-1703
(404) 843-3323
(404) 795-0780
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE G-99, ATLANTA, GA 30342-1703
(404) 843-3323
(404) 795-0780
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
46109
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702813
BLUE CROSS BLUE SHIELD GA
GA
01
—
7085282
AETNA
—
01
—
P00055192
MEDICARE RR
—
Enumeration date
07/06/2005
Last updated
05/20/2014
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