Individual
SETH BLAINE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4039 GATEWAY BLVD STE 102, GROVETOWN, GA 30813-3195
(706) 210-9534
(706) 210-9536
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(706) 750-0654
(706) 842-6752
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8941
SC
Other
Enumeration date
01/18/2018
Last updated
03/17/2018
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