| Timothy Gross, DC | |
|
1651 Milford Creek Overlook Sw, Marietta, GA 30008-8108 | |
| (404) 232-5755 | |
| Not Available |
| Full Name | Timothy Gross |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1651 Milford Creek Overlook Sw, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164266458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR007666 (Georgia) | Primary |
| Provider Name | Whitehall Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609070788 PECOS PAC ID: 6608857404 Enrollment ID: O20040527000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Gross, DC 1651 Milford Creek Overlook Sw, Marietta, GA 30008-8108 Ph: () - | Timothy Gross, DC 1651 Milford Creek Overlook Sw, Marietta, GA 30008-8108 Ph: (404) 232-5755 |
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