NPI 1376785600

Grant Adam Doornbos, MD

Practitioner Anesthesiology Physician Kennesaw, GA

Practice location

Address: 1300 Ridenour Blvd NW STE 300, Kennesaw, GA 30152-4402
Phone: (770) 702-1806
Mailing address: 3804 Glengarry Way NE, Roswell, GA 30075-2615

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 069398 (GA)

Other Anesthesiology providers in Georgia →

Registry record

NPI: 1376785600
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2009
Record last updated: 28 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.