Individual
MARY VIRGINIA GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2701 WOODLAND BROOK LN SE, SMYRNA, GA 30080-7071
(404) 606-2795
(404) 352-3851
Mailing address
2701 WOODLAND BROOK LN SE, SMYRNA, GA 30080-7071
(404) 606-2795
(404) 352-3851
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00969779A
—
GA
Enumeration date
12/15/2006
Last updated
07/09/2007
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