Individual
MARY GRACE ALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1412 WINSTON PL, DECATUR, GA 30033-1951
(770) 380-6321
Mailing address
1412 WINSTON PL, DECATUR, GA 30033-1951
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024059128
GA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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