Individual
MS. FAYE LEWIS GROOVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1487 ALLEN RD, MACON, GA 31216-5817
(478) 785-9779
(478) 785-9779
Mailing address
1487 ALLEN RD, MACON, GA 31216-5817
(478) 785-9779
(478) 785-9779
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
GA
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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