Charles J. Grodzin MD
Pulmonary Disease Physician in Atlanta, GA(View on Map)
Full Name
Charles J Grodzin MD
NPI Number
1215904859
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/02/2006
Specialties
(Taxonomies)Licenses
State
Georgia
Texas
License Number
071760
L0226
Contact
Information
Purpose
Mailing
Location
Address
550 PEACHTREE ST NE
550 PEACHTREE ST NE
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30308-2212
30308-2212
Country
US
US
Telephone Number
(404) 686-4411
(404) 686-4411
Identifiers
Identifier
142057203
142058002
142057204
290013827
290013828
8A2490
142057201
Identifier State
TX
TX
TX
TX
TX
TX
TX
Identifier Issuer
Unknown
Unknown
Unknown
RR MEDICARE DENTO CO
RR MEDICARE DALLAS CO
BCBS
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/08/2015