Individual
MRS. JANET LENISE MCGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1920 JOHN E WESLEY AVE, COLLEGE PARK, GA 30337
(404) 765-4155
(404) 765-4149
Mailing address
99 JESSE HILL JR DRIVE SE, ATLANTA, GA 30303
(404) 730-1217
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN127390
GA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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