LIAM SAMUEL GROSECLOSE

AUSTELL, GA
NPI1609376763
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN223393)
Enumeration Date2018-02-15
Last Update Date2020-11-04
Business Address
LIAM SAMUEL GROSECLOSE
1700 MULKEY RD
AUSTELL, GA 30106-1116
Phone number: 770-941-5750
Mailing Address
LIAM SAMUEL GROSECLOSE
3576 S SHERWOOD RD SE
SMYRNA, GA 30082-2832
Phone number: 678-522-1963
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