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Shivdharaa Llc
Primary Care Nurse Practitioner in Grayson, Georgia
NPI 1619688660

Shivdharaa Llc is a Primary Care Nurse Practitioner based in Grayson, GA and is specialized in Primary Care. Shivdharaa Llc practices in Grayson, GA. The NPI Number for Shivdharaa Llc is 1619688660 and holds a License No. (Georgia).

The current practice location address for Shivdharaa Llc is 2515 Haynes Club Cir, Grayson, GA and can be reached out via phone at 404-940-2033.

Location: 2515 Haynes Club Cir, Grayson, GA, 30017-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619688660
Provider Name
Shivdharaa Llc
Credential
Provider Entity Type
Organization
Address
2515 Haynes Club Cir, Grayson, GA, 30017-2814
Phone Number
404-940-2033
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2515 Haynes Club Cir
City
Grayson
State
Georgia
Zip
30017-2814
Phone Number
404-940-2033
Fax Number
person
Provider Business Mailing Address Details
Address
2515 Haynes Club Cir
City
Grayson
State
Georgia
Zip
30017-2814
Phone Number
404-940-2033
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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