Individual
GRACE A NEWSOME
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 864-4012
(706) 864-4029
Mailing address
330 RIVER OVERLOOK RD, DAWSONVILLE, GA 30534-5794
(706) 265-7261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN037772
GA
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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