Individual
ALECIA WALGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 727-7825
Mailing address
1462 CLIFTON RD NE STE 280, ATLANTA, GA 30322-1063
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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