Grattan-Smith, John D

Grattan-Smith, John D is an individual health care provider with primary practice located at 790 Church St Ne Ste 400 , Marietta GA 30060-8957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grattan-Smith, John D can be contacted via phone (770) 405-2976.

Contact Information

Primary practice address
790 Church St Ne Ste 400 Marietta GA 30060-8957
Phone: (770) 405-2976
Fax: (770) 988-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 61912 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 038237 Georgia
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 038237 Georgia

Profile Details

NPI number 1548234933
LBN Legal business name Grattan-Smith, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 12th, 2024 - about 10 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548234933 NPPES
Georgia MEDICAID 000615733

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