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DARRYL S GROSS MD PC NPI 1285814491


NPI Information

NPI: 1285814491
Provider Name: DARRYL S GROSS MD PC

Other Name: MEDICAL WEIGHT LOSS & FAMILY PRACTICE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2280 SALEM RD SE
SUITE 102
CONYERS, GA
ZIP 30013
Phone: (770) 860-8860
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DARRYL S GROSS MD PC is a general practice in Conyers, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DARRYL S GROSS MD PC NPI is 1285814491. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Medical Weight Loss & Family Practice.

The provider's business location address is:

2280 SALEM RD SE
SUITE 102
CONYERS, GA
ZIP 30013-003
Phone: (770) 860-8860
Fax: (770) 860-8890

The provider's authorized official is Vanessa Denise Gross .
The authorized official title is Office Administrator and has the following contact phone number (770) 860-8860.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 1/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP6702OTHERGEORGIAMEDICARE GROUP NUMBER ASS
201BDHSCMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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