Individual
NEKEIA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PRESTMOOR CT, TYRONE, GA 30290-1575
(404) 863-8267
Mailing address
107 PRESTMOOR CT, TYRONE, GA 30290-1575
(404) 863-8267
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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