Organization
GROFF FAMILY MEDICINE LLC
Active
Parent organization
GWINNETT MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GWINNETT MEDICAL GROUP INC
Authorized official
STEVEN A RUBIN (EXECUTIVE DIRECTOR)
(678) 312-3050
Entity
Organization
Contact information
Practice address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-5625
(770) 339-2120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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