Individual
DR. ADAM STEPHEN ALEXANDER GRACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW BLDG 775TH, ATLANTA, GA 30309-1281
(404) 605-4600
Mailing address
1968 PEACHTREE RD NW BLDG 775TH, ATLANTA, GA 30309-1281
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
69436
WI
204F00000X
Transplant Surgery Physician
Primary
96612
GA
208600000X
Surgery Physician
69436
WI
208600000X
Surgery Physician
96612
GA
Other
Enumeration date
06/14/2011
Last updated
09/12/2023
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