Individual
DR. NEIL KINGSLEY GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
(770) 554-4681
Mailing address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
(770) 554-4681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000638261C
—
GA
01
—
080180711
MEDICARE RAILROAD
GA
Enumeration date
07/24/2006
Last updated
10/13/2020
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