Grodzin, Charles J
Grodzin, Charles J is an individual health care provider with primary practice located at 550 Peachtree St Ne , Atlanta GA 30308-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grodzin, Charles J can be contacted via phone (404) 686-4411.Contact Information
Primary practice address
550 Peachtree St Ne
Atlanta GA 30308-2212
Phone: (404) 686-4411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | L0226 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 071760 | Georgia |
Profile Details
| NPI number | 1215904859 |
|---|---|
| LBN Legal business name | Grodzin, Charles J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Dec 8th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215904859 | NPPES |
| Texas | MEDICAID | 142057203 | |
| Texas | MEDICAID | 142058002 | |
| Texas | MEDICAID | 142057204 | |
| Texas | Other | 290013827 | |
| Texas | Other | 290013828 | |
| Texas | Other | 8A2490 | |
| Texas | MEDICAID | 142057201 |
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