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Individual

DR. RYAN NAGUMO GRADDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Mailing address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82590
GA
207R00000X
Internal Medicine Physician
D79188
MD

Other

Enumeration date
04/09/2012
Last updated
05/19/2020
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