Individual
DR. THOMAS A. GRILLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 TREE LANE RD, SUITE 230, SNELLVILLE, GA 30078-6782
(770) 979-4700
(770) 979-1060
Mailing address
1700 TREE LANE RD, SUITE 230, SNELLVILLE, GA 30078-6782
(770) 979-4700
(770) 979-1060
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
020720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00240831A
—
GA
Enumeration date
06/12/2006
Last updated
07/08/2007
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