Individual
DR. BETSY H GRUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 BROAD ST SE STE A, GAINESVILLE, GA 30501-3718
(470) 293-9800
(844) 689-4542
Mailing address
PO BOX 42755, BELFAST, ME 04915-1279
(470) 293-9800
(844) 689-4542
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
069414
GA
207T00000X
Neurological Surgery Physician
141424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133726A
—
GA
05
—
003133726B
—
GA
05
—
003133726C
—
GA
05
—
003133726D
—
GA
05
—
003133726E
—
GA
01
—
01887105
AMERIGROUP
GA
01
—
3618296
UHC
GA
01
—
52608061
BCBS
GA
01
—
902740
WELLCARE
GA
01
—
P01257674
PALMETTO GBA - RAILROAD MEDCARE
GA
Enumeration date
04/17/2008
Last updated
03/06/2026
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