Individual
MS. GRACE I. MISAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4285 JIM MOORE RD STE 200, DACULA, GA 30019-1551
(770) 442-1911
(707) 442-0306
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 496-9400
(770) 496-9495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN098265
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000852057E
—
GA
Enumeration date
01/11/2006
Last updated
05/10/2023
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