Individual
DR. PAMELA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 MISSIONARY DR, DECATUR, GA 30030-3842
(404) 329-1085
Mailing address
219 MISSIONARY DR, DECATUR, GA 30030-3842
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
042589
GA
Other
Enumeration date
08/21/2007
Last updated
08/31/2011
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