Grose, Lee
Grose, Lee is an individual health care provider with primary practice located at 1742 Oak Rd , Snellville GA 30078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grose, Lee can be contacted via phone (770) 638-1401.Contact Information
Primary practice address
1742 Oak Rd
Snellville GA 30078
Phone: (770) 638-1401
Fax: (770) 638-1402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 046856 | Georgia |
Profile Details
| NPI number | 1194091025 |
|---|---|
| LBN Legal business name | Grose, Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2012 |
| Last updated | Aug 21st, 2018 - about 8 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 | 1194091025 | NPPES |
| Georgia | MEDICAID | 00312787872A |
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