Individual
DR. NOVA A. GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
415 PEACHTREE PKWY STE 230, CUMMING, GA 30041-7235
(678) 947-3316
Mailing address
415 PEACHTREE PKWY STE 230, CUMMING, GA 30041-7235
(678) 947-3316
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CHIR008276
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487830253
NPI GROUP #
GA
Enumeration date
06/02/2008
Last updated
06/02/2008
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