MEDICARE: DR. OSCAR MARSHALL GRABLOWSKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	014741	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760450977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSCAR MARSHALL GRABLOWSKY M.D.

Provider Business Mailing Address
First Line	:	5667 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE 330
City	:	ATLANTA
State	:	GA
Zip	:	30342-1725
Country	:	US
Telephone Number	:	404-252-5669
Fax Number	:	404-252-9473

Provider Business Practice Location Address
First Line	:	5667 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE 330
City	:	ATLANTA
State	:	GA
Zip	:	30342-1725
Country	:	US
Telephone Number	:	404-252-5669
Fax Number	:	404-252-9473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	09/21/2007

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Directions to “ DR. OSCAR MARSHALL GRABLOWSKY M.D.” Practice Location

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