Individual
COREY HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-7000
Mailing address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-7000
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100161933
GA
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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