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Individual
LINDSAY A GROVE
Active
Individual
LINDSAY A GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN053441
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10059129
AMERIGROUP
GA
05
—
182856730A
—
GA
05
—
182856730B
—
GA
05
—
NP0932
—
SC
Enumeration date
06/12/2006
Last updated
05/23/2008
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