Grizzle, Daniel Craig

Grizzle, Daniel Craig is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center, Duluth GA 30096-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grizzle, Daniel Craig can be contacted via phone (770) 931-6220.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center Duluth GA 30096-4506
Phone: (770) 931-6220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 037223 Georgia

Profile Details

NPI number 1003959289
LBN Legal business name Grizzle, Daniel Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 13th, 2022 - about 3 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 1003959289 NPPES
Georgia MEDICAID 00588024E

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