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1306942115
MARK L GRAVLEE
ROSWELL, GA
NPI
1306942115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 034355)
Enumeration Date
2006-09-16
Last Update Date
2019-10-14
Business Address
MARK L GRAVLEE M.D.
2500 HOSPITAL BOULEVARD SUITE 420
ROSWELL, GA 30076-4919
Phone number: 770-410-4661
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Mailing Address
MARK L GRAVLEE M.D.
2500 HOSPITAL BLVD STE 290
ROSWELL, GA 30076-4918
Phone number: 470-956-4560
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