Individual
GRAYSAN KIRK SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 JESSE HILL JR DR SE RM 410, ATLANTA, GA 30303-3033
(919) 801-0538
Mailing address
69 JESSE HILL JR DR SE RM 410, ATLANTA, GA 30303-3033
(919) 801-0538
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
80076
GA
207V00000X
Obstetrics & Gynecology Physician
MTL002503
DC
Other
Enumeration date
05/12/2014
Last updated
04/11/2018
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