Individual
DR. GARY H. GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2819 DENNY AVE., PASCAGOULA, MS 39581-5301
(228) 762-3466
(228) 762-6349
Mailing address
2819 DENNY AVE., PASCAGOULA, MS 39581-5301
(228) 762-3466
(228) 762-6349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07078
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115070
—
MS
01
—
5352041
AETNA PROVIDER ID#
MS
Enumeration date
08/11/2005
Last updated
06/04/2013
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