Organization
NEIL K GROFF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL K GROFF MD. (PHYSICIAN)
(770) 554-4717
Entity
Organization
Contact information
Practice address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
(770) 554-4681
Mailing address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
(770) 554-4681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6647
MEDICARE RAILROAD
GA
Enumeration date
07/21/2006
Last updated
02/25/2008
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