Individual
STACEY MCGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
209 W SPRING ST STE 303, SYLACAUGA, AL 35150-2976
(256) 401-0417
Mailing address
PO BOX 131329, BIRMINGHAM, AL 35213-6329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-104162
AL
Other
Enumeration date
07/01/2022
Last updated
10/02/2024
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