Individual
MISS CHARMAINE P GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 JOHNSON FERRY RD STE 600, ATLANTA, GA 30342-1739
(404) 256-4777
(404) 256-5515
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 288-9555
(678) 288-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN251649
GA
363LF0000X
Family Nurse Practitioner
RN251649
GA
Other
Enumeration date
09/12/2019
Last updated
06/18/2024
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