Individual
DR. LAWRENCE R. GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 389-0446
(770) 389-3530
Mailing address
919 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 389-0446
(770) 389-3530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506195B
—
GA
Enumeration date
01/29/2007
Last updated
10/07/2011
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