Individual
MS. SANDRA N/A MCGRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 CEDAR ST, SMITHVILLE, GA 31787-2477
(404) 403-2882
Mailing address
160 CEDAR ST, SMITHVILLE, GA 31787-2477
(404) 403-2882
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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