Grossman, Jenny

Grossman, Jenny is an individual health care provider with primary practice located at 11975 Morris Rd Suite 300, Alpharetta GA 30005-4419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Grossman, Jenny can be contacted via phone (770) 521-2295.

Contact Information

Primary practice address
11975 Morris Rd Suite 300 Alpharetta GA 30005-4419
Fax: (770) 255-0333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 052751 Georgia

Profile Details

NPI number 1932198413
LBN Legal business name Grossman, Jenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated May 12th, 2016 - about 8 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 1932198413 NPPES
Georgia MEDICAID 934070908D
Georgia MEDICAID 934070908C
Georgia MEDICAID 934070908B

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