Individual
KACIE J. GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1505 NORTHSIDE BLVD STE 4600, CUMMING, GA 30041-7658
(770) 205-5292
Mailing address
758 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3386
(770) 962-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209451
GA
Other
Enumeration date
09/17/2019
Last updated
11/08/2023
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