Grizzle, Daniel Craig
Grizzle, Daniel Craig is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center, Duluth GA 30096-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grizzle, Daniel Craig can be contacted via phone (770) 931-6220.Contact Information
Primary practice address
3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center
Duluth GA 30096-4506
Phone: (770) 931-6220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 037223 | Georgia |
Profile Details
| NPI number | 1003959289 |
|---|---|
| LBN Legal business name | Grizzle, Daniel Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jan 13th, 2022 - about 2 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 | 1003959289 | NPPES |
| Georgia | MEDICAID | 00588024E |
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