Individual
AMELIA GRACE ANDREWS GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 SHERATON BLVD, MACON, GA 31210-1358
(478) 633-8700
(478) 633-8710
Mailing address
240 SHERATON BLVD, MACON, GA 31210-1358
(478) 633-8700
(478) 633-8710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10489
GA
Other
Enumeration date
12/24/2020
Last updated
05/12/2025
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