Individual
DR. WALTER A GRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4324 COVINGTON HWY, DECATUR, GA 30035-1208
(404) 289-6454
(404) 289-2570
Mailing address
4324 COVINGTON HWY, DECATUR, GA 30035-1208
(404) 289-6454
(404) 289-2570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00046175B
—
GA
Enumeration date
10/04/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us