Individual
DR. PARKER CHARLES GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, MSB 2ND FLOOR, ATHENS, GA 30606-2797
(706) 475-1700
(706) 475-1790
Mailing address
1500 OGLETHORPE AVE, AUITE 600A, ATHENS, GA 30606-2179
(706) 475-4933
(706) 208-8259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052943
GA
207RC0000X
Cardiovascular Disease Physician
052943
GA
207RI0011X
Interventional Cardiology Physician
Primary
052943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681452771
—
GA
Enumeration date
10/04/2006
Last updated
01/05/2015
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