Individual
MR. JASON LOUIS GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFO, COA
Contact information
Practice address
645 COX RD, GASTONIA, NC 28054-0639
(704) 852-9823
(704) 853-1055
Mailing address
2800 SAINT LEO ST, GREENSBORO, NC 27405-3382
(336) 621-9500
(336) 621-0980
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
09/03/2014
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