Individual
MR. MICHAEL GRANT EHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0001
(706) 721-8623
(706) 721-1459
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-5542
(706) 774-5789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN242064
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN242064
GA
Other
Enumeration date
12/08/2020
Last updated
11/02/2023
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