Individual
KATHLEEN GRASSMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 DAY DR, BOGART, GA 30622-1961
(770) 733-7704
Mailing address
2235 DAY DR, BOGART, GA 30622-1961
(770) 733-7704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN249213
GA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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