Grillo, Thomas A.

Grillo, Thomas A. is an individual health care provider with primary practice located at 1700 Tree Lane Rd Suite 230, Snellville GA 30078-6782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Grillo, Thomas A. can be contacted via phone (770) 979-4700.

Contact Information

Primary practice address
1700 Tree Lane Rd Suite 230 Snellville GA 30078-6782
Phone: (770) 979-4700
Fax: (770) 979-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 020720 Georgia

Profile Details

NPI number 1235171380
LBN Legal business name Grillo, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235171380 NPPES
Georgia MEDICAID 00240831A

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