IndividualActive
Ton De Grauw, M.D.
NPI 1336173103 · Neurology with Special Qualifications in Child Neurology Physician · Atlanta, GA
Provider details
- NPI number
- 1336173103
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 066687 (GA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 066687 (GA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2015 Uppergate Dr Ne
Atlanta, GA 30322-0001
Phone: (404) 712-9460
Fax: (404) 727-1981
Approximate (ZIP-level) locationGet directions
Mailing address
2015 Uppergate Dr Ne
Atlanta, GA 30322-0001
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2011-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.