Individual
LASHA GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 MARIETTA ST NW, SUITE 29, ATLANTA, GA 30318-0527
(404) 458-2724
Mailing address
935 MARIETTA ST NW, SUITE 29, ATLANTA, GA 30318
(404) 458-2724
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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