Provider Demographics
NPI:1093486276
Name:STROM, GRIFFIN CHASE (PA-C)
Entity type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:CHASE
Last Name:STROM
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3903 S COBB DR SE STE 200
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6301
Mailing Address - Country:US
Mailing Address - Phone:770-435-3214
Mailing Address - Fax:770-437-6911
Practice Address - Street 1:3903 S COBB DR SE STE 200
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6301
Practice Address - Country:US
Practice Address - Phone:770-435-3214
Practice Address - Fax:770-437-6911
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2025-01-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant