Individual
FELICIA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
198 HONEY HOLE RD, THOMSON, GA 30824-7497
(706) 466-2523
Mailing address
PO BOX 462, THOMSON, GA 30824-0462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203762
GA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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