Individual
DR. KYLE GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE STE 100N, MARIETTA, GA 30060-1101
(770) 422-2326
Mailing address
677 CHURCH ST NE STE 100N, MARIETTA, GA 30060-1101
(770) 422-2326
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
83117
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
10/16/2019
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