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Contact Information

KENNETH L GROTZ, MD
3651 WHEELER ROAD
AUGUSTA, GA30909
 Phone: 706-651-2369
 Fax: 706-651-2364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KENNETH L GROTZ · (Male)

NPI # 1063521631
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 10/04/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 037820
  • GA Medicaid 00568235E
  • SC Medicaid G38834
  • Other 4370409 AETNA
  • Other 10062882 AMERIGROUP
  • Other 1447352778 NPI - CSRA EMERGENCY PHYS
  • Other 345518 WELLCARE OF GA
Hospital affiliation(s)
  • DOCTORS HOSPITAL - (Acute Care)
    3651 WHEELER ROAD
    AUGUSTA, GA 30909
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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