Individual
MARA P GROSSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE 190, ATLANTA, GA 30342-1703
(404) 256-4457
(404) 843-3469
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 190, ATLANTA, GA 30342-1703
(404) 256-4457
(404) 843-3469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003538
GA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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