Individual
MRS. RANDI GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 PLUMB BRANCH CT, MCDONOUGH, GA 30253-7585
(404) 277-8732
Mailing address
500 PLUMB BRANCH CT, MCDONOUGH, GA 30253-7585
(404) 277-8732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN088895
GA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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