Individual
DR. GIA S. GRANNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5185 PEACHTREE PKWY STE 325, PEACHTREE CORNERS, GA 30092-6541
(678) 831-5437
Mailing address
5185 PEACHTREE PKWY STE 325, PEACHTREE CORNERS, GA 30092-6541
(678) 831-5437
(678) 831-5462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25502
TX
1223P0221X
Pediatric Dentistry
25502
TX
1223P0221X
Pediatric Dentistry
Primary
DN013924
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121519
—
GA
Enumeration date
07/21/2008
Last updated
09/03/2024
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