Individual
DR. JAMIE LYNN BOSMA GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Mailing address
3500 NETTLE LN NE, ROSWELL, GA 30075-2651
(561) 329-7516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
073353
GA
207R00000X
Internal Medicine Physician
UO 2158
FL
Other
Enumeration date
11/04/2009
Last updated
01/29/2016
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