Mark L. Gravlee, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34355 Issued in GA

Legal business name

MARK L. GRAVLEE, M.D., P.C.

Practice address

11685 Alpharetta Hwy
Suite 180
Roswell, GA 30076-4913

Phone

(770) 667-4991

Fax

(770) 667-4994

NPI assigned

Feb 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark L. Gravlee, M.D.NPI 1306942115

Title

President

Phone

(770) 667-4991

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Gravlee, M.D.

  • Surgery Physician
  • Roswell, GA
  • NPI 1306942115
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962476192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "SUITE 180",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-667-4991",
            "fax_number": "770-667-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "SUITE 180",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-667-4991",
            "fax_number": "770-667-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. GRAVLEE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVLEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-667-4991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "34355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen J Marley, MSW, LCSW
• Monica L Marlowe, MD
• Anna Marshall
• Melanie Marshall, CRNA
• Valeriann Bizon Marshall, N.P.-C

• Surgery Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.