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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIAM SAMUEL GROSECLOSE

Active Sole Proprietor

LIAM SAMUEL GROSECLOSE is a Family Nurse Practitioner healthcare provider located in AUSTELL, Georgia. NPI 1609376763 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · AUSTELL, GA

Registration Details

NPI Number
1609376763
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2018 (8.4746120868571 yrs)
Last Updated
Nov 4, 2020
License
RN223393 (GA)
Sole Proprietor
Yes

Practice Information

Address
1700 MULKEY RD
AUSTELL, GA, 301061116
Browse GA providers · Browse ZIP 30106
Phone
7709415750
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in AUSTELL, GA

Name Credential NPI
MS. KAREN BELINDA IVEY FNP-C 1760463517
MS. ROBIN ANN BRACKETT NP 1073670709
KAREN HOLTZCLAW NP 1184751596
WANDA Y FELDER NP-C 1477789279
CHRISTINA BETH MUELLER FNP 1174859987
LASHONTE THOMAS-SHAW ARNP 1093042822
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.