| Neil K Groff Md Llc | |
|
115 Lee Byrd Rd Loganville GA 30052-2310 | |
| (770) 554-4717 | |
| (770) 554-4681 |
| Full Name | Neil K Groff Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Lee Byrd Rd, Loganville, Georgia |
| Authorized Official Name and Position | Neil K Groff (PHYSICIAN) |
| Authorized Official Contact | 7705544717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil K Groff Md Llc 115 Lee Byrd Rd Loganville GA 30052-2310 Ph: (770) 554-4717 | Neil K Groff Md Llc 115 Lee Byrd Rd Loganville GA 30052-2310 Ph: (770) 554-4717 |
| NPI Number | 1538180179 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538180179 | NPI | - | NPPES |
| DD6647 | Other | GA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 038504 (Georgia) | Primary |
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