Healthcare Provider Details

I. General information

NPI: 1871664995
Provider Name (Legal Business Name): ANN MONTANARO GROOVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 MILLER FERRY RD SW SUITE D
CALHOUN GA
30701-7538
US

IV. Provider business mailing address

2945 MILLER FERRY RD SW STE D
CALHOUN GA
30701-7538
US

V. Phone/Fax

Practice location:
  • Phone: 706-602-9234
  • Fax: 706-602-9235
Mailing address:
  • Phone: 706-602-9234
  • Fax: 706-602-9235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036765
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: