Individual
TON J DE GRAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-0001
(404) 712-9460
(404) 727-1981
Mailing address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-0001
(404) 712-9460
(404) 727-1981
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
066687
GA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
066687
GA
Other
Enumeration date
07/10/2006
Last updated
08/17/2011
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