Kenneth L Grotz in Augusta - Adolescent Medicine
Kenneth L Grotz - NPI 1063521631
Kenneth L Grotz is a Adolescent Medicine in Augusta, Georgia. Kenneth L Grotz practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kenneth L Grotz is 1063521631. The last update date is 2007-10-04.
Kenneth L Grotz's current location address is P.o. Box 3638, Augusta, Georgia. You can contact this provider via phone number 7067374575 and fax number 7067315289. The mailing address for Kenneth L Grotz is P.o. Box 3638, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth L Grotz |
|---|---|
| Address | P.o. Box 3638, Augusta, Georgia |
| Phone Number | 7067374575 |
| Fax Number | 7067315289 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063521631 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | P.o. Box 3638 |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309143638 |
| Phone Number | 7067374575 |
| Fax Number | 7067315289 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 37820 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4370409 | AETNA | ||
| G38834 | SC | -- | |
| 1447352778 | NPI - CSRA EMERGENCY PHYS | ||
| 345518 | WELLCARE OF GA | ||
| 00568235E | GA | -- | |
| 10062882 | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth L Grotz by the Centers for Medicare & Medicaid Services?
The Kenneth L Grotz has been assigned the NPI (National Provider Identifier) 1063521631 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth L Grotz?
The Kenneth L Grotz is situated at P.O. Box 3638, in the city of Augusta, state of GA, with the zip code 309143638.
What is Kenneth L Grotz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth L Grotz's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.
When did Kenneth L Grotz receive its 1063521631 assignment?
The Kenneth L Grotz was assigned its 1063521631 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kenneth L Grotz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth L Grotz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-04.
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