Edward Scott Gronka in Fayetteville - Plastic Surgery
Edward Scott Gronka - NPI 1306838099
Edward Scott Gronka is a Plastic Surgery in Fayetteville, Georgia. Edward Scott Gronka practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Edward Scott Gronka is 1306838099. The last update date is 2007-08-28.
Edward Scott Gronka's current location address is 874 W Lanier Ave, Fayetteville, Georgia. You can contact this provider via phone number 7704614000 and fax number 7704612790. The mailing address for Edward Scott Gronka is 874 W Lanier Ave, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Scott Gronka |
|---|---|
| Address | 874 W Lanier Ave, Fayetteville, Georgia |
| Phone Number | 7704614000 |
| Fax Number | 7704612790 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306838099 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 874 W Lanier Ave |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302141511 |
| Phone Number | 7704614000 |
| Fax Number | 7704612790 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 35431 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00502433A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Scott Gronka by the Centers for Medicare & Medicaid Services (CMS)?
The Edward Scott Gronka has been assigned the NPI (National Provider Identifier) 1306838099. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Edward Scott Gronka?
The Edward Scott Gronka is physically situated at 874 W Lanier Ave, in the city of Fayetteville, state of GA, with the postal code 302141511.
What is the Edward Scott Gronka's area of specialization and corresponding taxonomy classification?
The Edward Scott Gronka's specialty field is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their specialties.
On what date did Edward Scott Gronka receive its 1306838099 assignment from the Centers for Medicare & Medicaid Services?
The Edward Scott Gronka was assigned its 1306838099 on 2005-08-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Edward Scott Gronka most recently updated or refreshed?
The details pertaining to the Edward Scott Gronka, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-28.
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