Gross, Lawrence R.
Gross, Lawrence R. is an sole proprietor health care provider with primary practice located at 919 Eagles Landing Pkwy , Stockbridge GA 30281-5011. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gross, Lawrence R. can be contacted via phone (770) 389-0446.Contact Information
Primary practice address
919 Eagles Landing Pkwy
Stockbridge GA 30281-5011
Phone: (770) 389-0446
Fax: (770) 389-3530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 035432 | Georgia |
Profile Details
| NPI number | 1205972262 |
|---|---|
| LBN Legal business name | Gross, Lawrence R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Oct 7th, 2011 - about 13 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 | 1205972262 | NPPES |
| Georgia | MEDICAID | 00506195B |
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