Clinkscales, Grady
Clinkscales, Grady is an individual health care provider with primary practice located at 1819 Peachtree Rd Ne Suite 425, Atlanta GA 30309-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Clinkscales, Grady can be contacted via phone (404) 352-3522.Contact Information
Primary practice address
1819 Peachtree Rd Ne Suite 425
Atlanta GA 30309-1848
Phone: (404) 352-3522
Fax: (404) 601-1235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 010406 | Georgia |
Profile Details
| NPI number | 1881610699 |
|---|---|
| LBN Legal business name | Clinkscales, Grady |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1881610699 | NPPES |
| Georgia | MEDICAID | 00172917A |
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