Individual
GRAYSON VEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 2ND AVE, COLUMBUS, GA 31901-5241
(706) 321-9606
Mailing address
2205 WILLARD ST, COLUMBUS, GA 31906-3754
(706) 405-6197
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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