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Individual

KATHRYN A. GRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2550 WINDY HILL RD SE, SUITE 218, MARIETTA, GA 30067-8665
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33976
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000884012B
GA
05
000884012C
GA
05
000884012D
GA
05
000884012E
GA
05
000884012F
GA
05
000884012G
GA
05
000884012H
GA
05
000884012I
GA
Enumeration date
10/05/2005
Last updated
08/26/2013
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