Individual
MS. JACQUELINE V MCINTOSH-GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BA
Contact information
Practice address
1105 WEST PEACHTREE ST NW, ATLANTA, GA 30309-3608
(404) 853-2800
(404) 759-2753
Mailing address
3990 EMBASSY WAY, LILBURN, GA 30047-7828
(678) 485-4112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN071576
GA
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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