Individual
DR. GRANT ADAM DOORNBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806
Mailing address
3804 GLENGARRY WAY NE, ROSWELL, GA 30075-2615
(404) 245-3687
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
069398
GA
Other
Enumeration date
04/01/2009
Last updated
03/28/2018
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