Healthcare Provider Details

I. General information

NPI: 1477085405
Provider Name (Legal Business Name): KAITLIN MCGRAIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 PEACHTREE ST NW STE 640
ATLANTA GA
30309-2555
US

IV. Provider business mailing address

1800 PEACHTREE ST NW STE 640
ATLANTA GA
30309-2555
US

V. Phone/Fax

Practice location:
  • Phone: 404-370-1817
  • Fax:
Mailing address:
  • Phone: 404-370-1817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number1477085405
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: