Individual
MR. ALAN JAY GRODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3280 HOWELL MILL RD NW, SUITE 139, ATLANTA, GA 30327-4111
(404) 310-4277
Mailing address
100 CAMERON GLEN DR NW, SANDY SPRINGS, GA 30328-4707
(779) 937-0068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1153
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153
PHYSICAL THERAPIST
GA
Enumeration date
03/06/2007
Last updated
07/08/2007
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