Individual
DR. KENDRA JANEL GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE FL 6, ATLANTA, GA 30308-2212
(404) 686-2513
(404) 686-4959
Mailing address
550 PEACHTREE ST NE FL 6, ATLANTA, GA 30308-2212
(404) 686-2513
(404) 686-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036120433
IL
208600000X
Surgery Physician
Primary
79606
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
45160
KY
Other
Enumeration date
08/12/2008
Last updated
02/05/2018
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