Individual
MCKAELLA ELIZABETH GROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 15TH ST., AUGUSTA, GA 30912
(706) 721-2273
Mailing address
680 CRANE CREEK DRIVE APT 1702, AUGUSTA, GA 30907
(804) 514-6370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15164
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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