Doctor Name: | DR. PETER DANIEL GROSSMAN |
NPI Number: | 1376631663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 032198 |
Business Practice Address: | 1115 Garredd Blvd Augusta, GA - 309096674 |
Business Phone Number: | 7069220101 |
Business Fax Number: | 7063640056 |
Mailing Address: | 1115 Garredd Blvd, AUGUSTA |
State: | GA |
Postal Code: | 309096674 |
Phone Number: | 7069220101 |
Fax Number: | 7063640056 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 032198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |