Individual
CARMEN DIANE MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 MANCHESTER EXPY, COLUMBUS, GA 31904-6435
(706) 243-0250
Mailing address
186 BIG SKY DR, HAMILTON, GA 31811-6537
(706) 566-5033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002279
GA
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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