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Contact Information

DAVID K GROGAN, PA
216 CORDER RD
WARNER ROBINS, GA31088
 Phone: 478-923-5872
 Fax: 478-922-9020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID K GROGAN · (Male)

NPI Number 1841294386
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/13/2005
Last updated 06/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 002483
  • GA Medicaid 100000536A
  • GA Other 970028283 RR MEDICARE
Hospital affiliation(s) Not Available
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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