Individual
HANS E GROSSNIKLAUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, BLDG B ROOM BT428, ATLANTA, GA 30322
(404) 778-4611
(404) 778-5089
Mailing address
1365 CLIFTON RD NE, BLDG B ROOM BT428, ATLANTA, GA 30322
(404) 778-4611
(404) 778-5089
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
031600
GA
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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