Individual
MRS. GRACE ELIZABETH MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6324
Mailing address
166 MIDDLETON PL, GRAYSON, GA 30017-4134
(404) 713-8384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN211308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN211308
ADVANCED PRACTICE - NP
GA
Enumeration date
06/15/2020
Last updated
01/07/2022
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