Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. EDWARD SCOTT GRONKA M.D.

Surgery Yellow Pages

Fayetteville, Georgia

Provider NPI: 1306838099

Provider Information:
DR. EDWARD SCOTT GRONKA M.D.


Practice Location:
874 W LANIER AVE ONE PRESTIGE PARK SUITE 100 FAYETTEVILLE, GA 30214 US
Tel: 770-461-4000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
GA035431

Other Provider Identifiers:

IssuerNumberStateType
00502433AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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