Carlson, Grant
Carlson, Grant is an individual health care provider with primary practice located at 1327 Clifton Rd Ne , Atlanta GA 30322-1013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Carlson, Grant can be contacted via phone (404) 778-3307.Contact Information
Primary practice address
1327 Clifton Rd Ne
Atlanta GA 30322-1013
Phone: (404) 778-3307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 025122 | Georgia |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 025122 | Georgia |
Profile Details
| NPI number | 1689698649 |
|---|---|
| LBN Legal business name | Carlson, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689698649 | NPPES |
| Georgia | Other | 020020048 | RAILROAD MEDICARE |
| Georgia | Other | 497338 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000462866A | RAILROAD MEDICARE |
| Georgia | Other | 1241805 | RAILROAD MEDICARE |
| Georgia | Other | 515148 | RAILROAD MEDICARE |
| Georgia | Other | Y 19930601 | RAILROAD MEDICARE |
Popular Providers
-
Elliott, Lester Franklyn
975 Johnson Ferry Rd Ne Suite 500, Atlanta GA 30342-1619 -
Randle, Peter Michael
4890 Roswell Rd Ne , Atlanta GA 30342-2606 -
Leroy, John Levis
5673 Peachtree Dunwoody Rd Ne Suite 375, Atlanta GA 30342-1731 -
Kolb, Susan Elizabeth
4370 Georgetown Sq , Atlanta GA 30338-6205 -
Baird, Wilbur L
975 Johnson Ferry Rd Ne Suite 500, Atlanta GA 30342-1619 -
Mackay, Gregory J
5673 Peachtree Dunwoody Rd Ste 870, Atlanta GA 30342 -
Difrancesco, Lisa M.
1800 Howell Mill Rd Nw Suite 400, Atlanta GA 30318-0919 -
Losken, Albert
550 Peachtree St 8Th Floor Ste 4300, Atlanta GA 30308