Individual
EMILIE M GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1020 JAMESTOWN BLVD BLDG 200, WATKINSVILLE, GA 30677-4131
(706) 769-0005
(706) 769-0403
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN269803
GA
Other
Enumeration date
02/12/2021
Last updated
03/04/2026
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