Individual
GREGORY JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2624 CREST VALLEY DR, CONYERS, GA 30094-8007
(404) 924-9995
Mailing address
2624 CREST VALLEY DR, CONYERS, GA 30094-8007
(404) 924-9995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN251178
GA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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