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NPI Code Detail

MEDICARE: RAMI GROSSMAN

MEDICARE: RAMI GROSSMAN
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
1363A00000XPhysician Assistant11516GA

General Provider Information

NPI Number : 1801563739
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMI GROSSMAN
Provider Business Mailing Address
First Line : 5670 PEACHTREE DUNWOODY RD STE 1000
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4790
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CENTURY PKWY NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3125
Country : US
Telephone Number : 678-314-6905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2021
Last Update Date : 04/12/2023

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Directions to “ RAMI GROSSMAN ” Practice Location

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