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Organization

ALTERGYN, LLC

Active
Other names
Acupuncture and Injury
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES ROCHESTER GRANGER III M.D. (M.D./OWNER)
(678) 247-2115
Entity
Organization

Contact information

Practice address
1521 JOHNSON FERRY RD STE 135, MARIETTA, GA 30062-6408
(678) 247-2115
(404) 393-8059
Mailing address
1521 JOHNSON FERRY RD STE 135, MARIETTA, GA 30062-6408
(678) 247-2115
(404) 393-8059

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073714580
GENERAL PRACTICE
GA
Enumeration date
12/05/2018
Last updated
12/01/2021
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