Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD SCOTT GRONKA, M.D.
ActiveDR. EDWARD SCOTT GRONKA, M.D. is a Plastic Surgery healthcare provider located in FAYETTEVILLE, Georgia. NPI 1306838099 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1306838099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (21.002455782568 yrs)
- Last Updated
- Aug 28, 2007
- License
-
035431 (GA)
Practice Information
- Address
-
874 W LANIER AVEONE PRESTIGE PARK SUITE 100FAYETTEVILLE, GA, 302141511Browse GA providers · Browse ZIP 30214
- Phone
- 7704614000
- Fax
- 7704612790
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL DAVID FELDMAN | M.D. | 1588656367 |
| DR. JOSEPH RANIERE,JR | M.D. | 1891787586 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.