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Individual

DR. JOHN MICHAEL GRANSBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC

Contact information

Practice address
1605 CHANTILLY DR NE STE 110, ATLANTA, GA 30324-3277
(404) 785-5437
Mailing address
1605 CHANTILLY DR NE STE 110, ATLANTA, GA 30324-3277
(404) 785-5437

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
2023024715
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN321441
GA

Other

Enumeration date
06/23/2023
Last updated
10/05/2023
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