Individual provider · NPI-1

Dr. Kyle Grubbs, M.D.

Psychiatry & Neurology, Vascular Neurology · Marietta, GA

NPI number1487073631
StatusActive
Last updated in NPPESOct 16, 2019

Details

NPI
1487073631
Entity type
Individual (NPI-1)
Name
Dr. Kyle Grubbs
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2014
Last updated
Oct 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084V0102X Psychiatry & Neurology, Vascular Neurology83117GAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

677 Church St Ne Ste 100n
Marietta, GA 30060-1101

Phone 770-422-2326

Mailing address

677 Church St Ne Ste 100n
Marietta, GA 30060-1101

Phone 770-422-2326

Other practice locations

1161 21st Avenue South
A-0118 Medical Center North
Nashville, TN 37232

Phone 615-936-1567

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