Individual
KAMARIO GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
(601) 509-2585
Mailing address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
(601) 509-2585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
220985
LA
363LF0000X
Family Nurse Practitioner
Primary
904632
MS
Other
Enumeration date
07/12/2021
Last updated
04/05/2022
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