Individual provider · Type 1 NPI

Liam Samuel Groseclose

Family Nurse Practitioner · Austell, GA

NPI number 1609376763 Active

Practice location

1700 Mulkey Rd
Austell, GA 30106-1116

Mailing address

3576 S Sherwood Rd SE
Smyrna, GA 30082-2832

Other practice locations

  • 3535 Ashton Woods Dr NE, Brookhaven, GA 30319-2201 · (770) 451-0236

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN223393 (GA)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1609376763

Liam Samuel Groseclose's National Provider Identifier is 1609376763, issued on Feb 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austell, GA. The record was last updated on Nov 4, 2020.