Individual
DR. ANTHONY GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 ROSELANE ST NW, MARIETTA, GA 30060-6969
(770) 421-1420
Mailing address
335 ROSELANE ST NW, MARIETTA, GA 30060-7902
(770) 421-1420
(770) 421-8055
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
43630
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
43630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43630GA
STATE LICENSE
GA
Enumeration date
12/14/2005
Last updated
01/06/2016
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