Organization
MARK L. GRAVLEE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L. GRAVLEE M.D. (PRESIDENT)
(770) 667-4991
Entity
Organization
Contact information
Practice address
11685 ALPHARETTA HWY, SUITE 180, ROSWELL, GA 30076-4913
(770) 667-4991
(770) 667-4994
Mailing address
11685 ALPHARETTA HWY, SUITE 180, ROSWELL, GA 30076-4913
(770) 667-4991
(770) 667-4994
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34355
GA
Other
Enumeration date
02/14/2006
Last updated
08/22/2020
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