Provider Demographics
NPI:1356424071
Name:GETTS, ALAN GRANT (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GRANT
Last Name:GETTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4362 FERNBROOK XING
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4600
Mailing Address - Country:US
Mailing Address - Phone:706-860-6346
Mailing Address - Fax:
Practice Address - Street 1:4106 COLUMBIA RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-1450
Practice Address - Country:US
Practice Address - Phone:706-863-1440
Practice Address - Fax:706-863-5418
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0273772080A0000X
GA27377208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000403345IMedicaid