Individual
KRISTA LEE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
88 JOHNSON RD, LAWRENCEVILLE, GA 30046-5520
(404) 367-1907
(404) 367-1970
Mailing address
2705 ANGEL OAK CIR, DACULA, GA 30019-1872
(678) 522-8226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN151864
GA
Other
Enumeration date
01/14/2021
Last updated
02/14/2022
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