Individual
ABIDEMI MACGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
762 LYNNFIELD DR, LAWRENCEVILLE, GA 30045-5251
(678) 727-6192
Mailing address
762 LYNNFIELD DR, LAWRENCEVILLE, GA 30045-5251
(678) 727-6192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN193613
GA
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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