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Contact Information

DARRYL S GROSS MD PC
2280 SALEM RD SE
SUITE 102
CONYERS, GA30013-2003
 Phone: 770-860-8860
 Fax: 770-860-8890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DARRYL S GROSS MD PC

NPI Number 1285814491
LBN Legal business name DARRYL S GROSS MD PC
Authorized official VANESSA GROSS - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2007
Last updated 01/10/2013 - About 13 years ago
Identifiers
GA Other GRP6702 MEDICARE GROUP NUMBER ASS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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