Individual
DACENTA GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309
(404) 231-4431
(404) 231-5677
Mailing address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003279
GA
Other
Enumeration date
01/12/2015
Last updated
02/19/2019
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