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Individual

GAIL K GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Mailing address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
023161
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00496031A
GA
01
023359
BCBS ID
GA
01
578505
AETNA ID
GA
Enumeration date
12/12/2006
Last updated
07/08/2007
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