Kenneth L Grotz MD

NPI 1063521631 - Emergency Medicine - 207PT0002X

NPI Details
NPI 1063521631
Gender Male
Enumeration Date 08/29/2006
Last Updated 10/04/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3651 WHEELER ROAD
AUGUSTA GA, 30909, US
Phone (706) 651-2369
Fax (706) 651-2364
Business Location
P.O. BOX 3638
1125 TROUPE STREET
AUGUSTA GA, 30914-3638, US
Phone (706) 737-4575
Fax (706) 731-5289
Toxanomy
Taxonomy Code 207PT0002X
License State Georgia
License Number 037820
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According to our database, Dr. Kenneth L Grotz MD NPI is 1063521631, taxonomy code is 207PT0002X and license number is 037820, license state is located at Georgia. Kenneth L Grotz MD physically located at 3651 Wheeler Road, Augusta GA, 30909. NPI Number Kenneth L Grotz MD has the Individual type.

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1063521631 NPI number is provided on an as is basis without warranty of any kind. 1063521631 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Grotz MD are for informational purposes only.