Individual
MARY GRACE MARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
141 CENTRE ST, ORANGEBURG, SC 29115-6043
(803) 534-7200
Mailing address
3059 ANDERSON PL, DECATUR, GA 30033-1601
(404) 933-3826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN290035
GA
Other
Enumeration date
04/01/2021
Last updated
09/11/2025
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