Individual
KENDRA SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10055 FORD AVENUE, 3A, RICHMOND HILL, GA 31324
(912) 819-9601
(912) 819-9601
Mailing address
836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN176789
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158883D
—
GA
Enumeration date
12/10/2014
Last updated
12/08/2020
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