Individual
GRETTA GOINES ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
175 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-9054
(800) 410-4663
Mailing address
1640 FUMA LEAF WAY, MCDONOUGH, GA 30253-1948
(229) 520-1347
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
RN176479
GA
363LF0000X
Family Nurse Practitioner
Primary
RN176479
GA
Other
Enumeration date
12/02/2024
Last updated
01/15/2025
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