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Individual

GARY ROBERT GROPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 PEACHTREE RD NE, SUITE 575, ATLANTA, GA 30309-1476
(404) 350-0106
(404) 350-0176
Mailing address
2001 PEACHTREE RD NE, SUITE 575, ATLANTA, GA 30309-1476
(404) 350-0106
(404) 350-0176

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
28273
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I145321
MEDICARE
GA
01
293508
BCBS
01
P01092425
RAILROAD MEDICARE
GA
Enumeration date
08/29/2006
Last updated
11/27/2012
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