Individual
JOHN D GRATTAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
(770) 988-0730
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
038237
GA
2085P0229X
Pediatric Radiology Physician
61912
TN
2085R0202X
Diagnostic Radiology Physician
Primary
038237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000615733
—
GA
Enumeration date
02/14/2006
Last updated
01/12/2024
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