Individual
ANN GRAGG EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1955 CLIFF VALLEY WAY NE, SUITE 120, ATLANTA, GA 30329-2476
(404) 633-0664
(404) 633-0857
Mailing address
550 PEACHTREE ST NE, SUITE 1620, ATLANTA, GA 30308-2247
(404) 885-7701
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00576826C
—
GA
Enumeration date
07/07/2006
Last updated
10/12/2007
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