Individual
JAMES AARON GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-4053
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
34292
SC
207RI0200X
Infectious Disease Physician
Primary
96336
GA
207RI0200X
Infectious Disease Physician
TP652
KY
208000000X
Pediatrics Physician
29910
AL
208000000X
Pediatrics Physician
34292
SC
2080P0208X
Pediatric Infectious Diseases Physician
TP652
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137020
—
AL
05
—
137144
—
AL
05
—
342926
—
SC
Enumeration date
05/28/2008
Last updated
08/08/2023
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