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Individual

DR. GARY PRUSKY GRINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-9442
Mailing address
3301 HART WAY, SNELLVILLE, GA 30039-4688
(678) 651-9425

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10974
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
92304
GA

Other

Enumeration date
05/28/2019
Last updated
04/17/2023
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