Individual
MRS. DELL RENEE GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2300 MANCHESTER EXPY, STE C001, COLUMBUS, GA 31904-6802
(706) 243-4594
(706) 243-4596
Mailing address
PO BOX 8668, COLUMBUS, GA 31908-8668
(706) 243-4594
(706) 243-4596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN112041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113112
—
GA
01
—
20250I0976
MEDICARE PTAN
GA
Enumeration date
03/10/2011
Last updated
07/27/2015
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