Individual
DR. SEAN PATRICK GROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18768
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033803
—
AL
01
—
060037254
RAILROAD MEDICARE
—
05
—
111468
—
AL
05
—
111470
—
AL
05
—
111844
—
AL
05
—
111846
—
AL
05
—
111888
—
AL
05
—
111891
—
AL
01
—
25-10051
UNITED HEALTHCARE
—
01
—
3035375
BCBS
TN
01
—
4624195
AETNA
—
01
—
51033803
BCBS
AL
01
—
51049241
BCBS
AL
01
—
51049242
BCBS
AL
01
—
51049243
BCBS
AL
01
—
51049407
BCBS
AL
01
—
51049408
BCBS
AL
01
—
51598608
BCBS
AL
01
—
P00744666
RAILROAD MEDICARE
AL
Enumeration date
01/25/2006
Last updated
06/08/2010
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