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Individual

DR. KRISTY G. MCDONALD-GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4586 TIMBER RIDGE DR, SUITE 200, DOUGLASVILLE, GA 30135
(770) 942-0457
(770) 942-7699
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 942-0457
(770) 942-7699

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
069069
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003131763A
GA
05
003131763B
GA
Enumeration date
04/18/2007
Last updated
12/01/2020
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