Bruno Grillo is a Physician Assistant in Marietta, Georgia. Bruno Grillo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bruno Grillo is 1457435133. The last update date is 2012-06-27.
Bruno Grillo's current location address is 55 Whitcher Street, Suite 350, Marietta, Georgia. You can contact this provider via phone number 7704246893 and fax number 6788190357. The mailing address for Bruno Grillo is 55 Whitcher Street, Suite 350, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruno Grillo |
|---|---|
| Address | 55 Whitcher Street, Suite 350, Marietta, Georgia |
| Phone Number | 7704246893 |
| Fax Number | 6788190357 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457435133 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2012-06-27 |
Provider Mailing Address Detail
| Address | 55 Whitcher Street, Suite 350 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300609408 |
| Phone Number | 7704246893 |
| Fax Number | 6788190357 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4809 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 105882400L | GA | -- | |
| 105882400N | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bruno Grillo by the Centers for Medicare & Medicaid Services?
The Bruno Grillo has been issued the NPI (National Provider Identifier) 1457435133. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bruno Grillo is physically located?
The Bruno Grillo is situated at the following address: 55 Whitcher Street, Suite 350, Marietta, GA 300609408.
What is Bruno Grillo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bruno Grillo is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457435133 to Bruno Grillo?
The Centers for Medicare & Medicaid Services originally issued the 1457435133 to Bruno Grillo on 2006-10-25.
When was the information related to Bruno Grillo most recently updated or refreshed?
The details pertaining to the Bruno Grillo, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-27.
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