Individual
JONATHAN GROSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
DEPARTMENT OF NEUROSURGERY, 1365 CLIFTON RD, NE, ATLANTA, GA 30322-0001
(404) 778-5000
Mailing address
DEPARTMENT OF NEUROSURGERY, 1365 CLIFTON RD, NE, ATLANTA, GA 30322-0001
(404) 778-5000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
069603
GA
207T00000X
Neurological Surgery Physician
LP00899
RI
Other
Enumeration date
04/19/2007
Last updated
07/10/2013
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