Individual
MRS. GRACE N MBADUGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3716
(404) 294-3272
Mailing address
1157 ALFORD RD, LITHONIA, GA 30058-6093
(770) 484-0550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN120329
GA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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