Individual provider · Type 1 NPI

Michael Jerome Grady, DO

Specialist · Conyers, GA

NPI number 1083689533 Active

Practice location

1311 Milstead Ave NE
Conyers, GA 30012-3829

Call (770) 483-2368 Map

Fax (770) 785-5080

Mailing address

50 Upland Trl
Oxford, GA 30054-2923

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X029875 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083689533

Michael Jerome Grady, DO's National Provider Identifier is 1083689533, issued on Feb 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Conyers, GA. The record was last updated on Jul 13, 2026.