Grodzin, Charles J

Grodzin, Charles J is an individual health care provider with primary practice located at 550 Peachtree St Ne , Atlanta GA 30308-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grodzin, Charles J can be contacted via phone (404) 686-4411.

Contact Information

Primary practice address
550 Peachtree St Ne Atlanta GA 30308-2212
Phone: (404) 686-4411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X L0226 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 071760 Georgia

Profile Details

NPI number 1215904859
LBN Legal business name Grodzin, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Dec 8th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215904859 NPPES
Texas MEDICAID 142057203
Texas MEDICAID 142058002
Texas MEDICAID 142057204
Texas Other 290013827
Texas Other 290013828
Texas Other 8A2490
Texas MEDICAID 142057201

Popular Providers