Individual
FELICIA GRADDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(678) 314-9509
Mailing address
108 BALD EAGLE TRL, WARNER ROBINS, GA 31093-1190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
175322
GA
Other
Enumeration date
10/26/2017
Last updated
12/06/2023
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