Individual
SKYE FOST GRATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1200 CORPORATE DR STE 105, BIRMINGHAM, AL 35242-2942
(205) 995-7980
Mailing address
1230 BOUNDARY ST, BIRMINGHAM, AL 35242-4268
(865) 660-7593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1680
AL
Other
Enumeration date
01/27/2009
Last updated
06/17/2010
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