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Edward Gronka, M.D
NPI 1306838099 · on the registry since 2005
Practice
- Address
- 874 W Lanier Ave
One Prestige Park Suite 100
Fayetteville, GA 30214 - Phone
- (770) 461-4000
- Fax
- (770) 461-2790
- Organisation at this address
- Advanced Aesthetics Pc
Advanced Aesthetics, P.CInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia