Provider Demographics
NPI:1760450977
Name:GRABLOWSKY, OSCAR MARSHALL (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:MARSHALL
Last Name:GRABLOWSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5667 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1725
Mailing Address - Country:US
Mailing Address - Phone:404-252-5669
Mailing Address - Fax:404-252-9473
Practice Address - Street 1:5667 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 330
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1725
Practice Address - Country:US
Practice Address - Phone:404-252-5669
Practice Address - Fax:404-252-9473
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA014741208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00017399AMedicaid
GA00017399AMedicaid