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Individual

HANNAH GRANDGEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1111 W FRANK AVE, LUFKIN, TX 75904-3303
(936) 631-6777
Mailing address
2320 CARRELL RD, LUFKIN, TX 75901-4768
(936) 240-3509

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17949
TX
363A00000X
Physician Assistant

Other

Enumeration date
03/28/2024
Last updated
05/15/2024
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