Individual
CHARLES FREDERICK GRACI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1003 AMICALOLA CT, GRIFFIN, GA 30223-6867
(770) 233-0024
Mailing address
1003 AMICALOLA CT, GRIFFIN, GA 30223-6867
(770) 233-0024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP04381
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN212877
GA
Other
Enumeration date
04/16/2006
Last updated
09/25/2014
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