Individual
MACKENZIE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(704) 999-1840
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
304057
NC
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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