Individual
GRACE A PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314-2901
(706) 905-8449
Mailing address
1145 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314-2901
(706) 905-8449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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