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Individual

DR. ROSS KAELUND GRANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2712 N DECATUR RD, DECATUR, GA 30033-5910
(770) 491-3003
Mailing address
1829 MOUNT ROYAL DR NE, ATLANTA, GA 30329-2544
(901) 734-2656

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT017748
GA

Other

Enumeration date
06/25/2025
Last updated
06/25/2025
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