Kelly C Grow is a Gastroenterology in Brookhaven, Georgia. Kelly C Grow practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Kelly C Grow is 1588690382. The last update date is 2018-10-03.
Kelly C Grow's current location address is 1001 Summit Blvd Ste 200, Brookhaven, Georgia. You can contact this provider via phone number 7709891668 and fax number 7063699673. The mailing address for Kelly C Grow is 1001 Summit Blvd Ste 200, Brookhaven, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly C Grow |
|---|---|
| Address | 1001 Summit Blvd Ste 200, Brookhaven, Georgia |
| Phone Number | 7709891668 |
| Fax Number | 7063699673 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588690382 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2018-10-03 |
Provider Mailing Address Detail
| Address | 1001 Summit Blvd Ste 200 |
|---|---|
| City | Brookhaven |
| State | Georgia (GA) |
| Post Code | 303196410 |
| Phone Number | 7709891668 |
| Fax Number | 7063699673 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 51353 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 382474810H | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly C Grow by the Centers for Medicare & Medicaid Services?
The Kelly C Grow has been assigned the NPI (National Provider Identifier) 1588690382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kelly C Grow is physically located?
The Kelly C Grow is physically situated at the following address: 1001 Summit Blvd Ste 200, Brookhaven, GA, 303196410.
What is Kelly C Grow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly C Grow is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.
On what date did the Kelly C Grow receive its 1588690382 assignment from the Centers for Medicare & Medicaid Services?
The Kelly C Grow was assigned its 1588690382 by the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information regarding Kelly C Grow, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly C Grow, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-10-03.