Individual
MATTHEW B GRUNDFAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 277-1929
(478) 304-1468
Mailing address
130 E WESTERLEE DR, LEESBURG, GA 31763-5817
(229) 886-5150
(682) 200-2084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
052944
GA
Other
Enumeration date
08/25/2005
Last updated
05/25/2022
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