Tonya Grissam
MD | Pediatrics | Female
Tonya Grissam, MD is a Fort Lauderdale, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Tonya Grissam is also known as
Tonya Monique Grissam.
Current practice location of Tonya Grissam is
6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida - 33308-1409. She can be contacted on phone at
800-586-5022 and fax number 954-229-9801.
Tonya Grissam is a sole proprietor of her business.
NPI number (Unique professional ID) for Tonya Grissam is
1043385131 which was assigned by NPPES on 22 Nov, 2006 and it was last updated on 19 Jul, 2022.
Tonya Grissam license number is
4301106345 for Pediatrics (208000000X) in Michigan.
Tonya Grissam is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tonya Grissam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Tonya Grissam |
|---|
| Other Name : | Tonya Monique Grissam |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Tonya Grissam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6451 N Federal Hwy Ste 800
Fort Lauderdale, FL, 33308-1409
United States |
|---|
| Phone Number : | 800-586-5022 |
|---|
| Fax Number : | 954-229-9801 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043385131 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 22 Nov, 2006 |
|---|
| Last Updated On : | 19 Jul, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tonya Grissam are as mentioned. Primary taxonomy code for Tonya Grissam, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301106345 | MI |
| 208000000X | Pediatrics | No | 051567 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Tonya Grissam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000960913D | MEDICAID | GA | |
| 000960913H | MEDICAID | GA | |
| 000960913I | MEDICAID | GA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
925 MAIN ST,
STONE MOUNTAIN, GA, 30083-3098
United States | STONE MOUNTAIN, GA | 888-652-6564 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6451 N Federal Hwy Ste 800
Fort Lauderdale, FL, 33308-1409
United States |
|---|
| Phone Number : | 800-586-5022 |
|---|
| Fax Number : | 954-229-9801 |
|---|
Business Location:
Patients can refer following map for directions to
Tonya Grissam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.