Healthcare Provider Details

I. General information

NPI: 1871403782
Provider Name (Legal Business Name): FRONTIER GYNECOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
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: 404-370-1917
  • Fax:
Mailing address:
  • Phone: 404-370-1917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: KAITLIN MCGRAIL
Title or Position: OWNER
Credential: MD
Phone: 479-586-1002