Individual
ELIZABETH GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 971-6065
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 971-6065
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173185
—
GA
Enumeration date
01/11/2016
Last updated
06/18/2025
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