Individual
MARCIA MCGRATH-ENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1275 CLEVELAND AVE, EAST POINT, GA 30344-3433
(404) 761-0819
(404) 768-2336
Mailing address
4702 CLARKS CREEK LN, ELLENWOOD, GA 30294-6576
(404) 964-4704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN179820
GA
Other
Enumeration date
11/08/2016
Last updated
04/06/2018
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