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Individual

ERNEST GRANT FLAGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4525 FLAT SHOALS PKWY, SUITE 401, DECATUR, GA 30034-5038
(404) 600-8675
(800) 766-1168
Mailing address
4525 FLAT SHOALS PKWY, SUITE 401, DECATUR, GA 30034-5038
(404) 600-8675
(800) 766-1168

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
163W00000X
Registered Nurse
Primary
4704299244
MI

Other

Enumeration date
11/05/2013
Last updated
07/18/2015
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