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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes4301106345MI
208000000XPediatricsNo051567GA
Legacy Identifiers:
Other legacy medical identifiers of Tonya Grissam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
000960913DMEDICAIDGA
000960913HMEDICAIDGA
000960913IMEDICAIDGA
Other Practice Locations:
Practice AddressCity, StatePhone Number
925 MAIN ST,
STONE MOUNTAIN, GA, 30083-3098
United States
STONE MOUNTAIN, GA888-652-6564
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. Last updated on 08 January, 2024.