person
Mackenzie Lurene Mashburn Grillo, NP
Acute Care Nurse Practitioner in Douglasville, Georgia
NPI 1891205373

Mackenzie Lurene Mashburn Grillo is an Acute Care Nurse Practitioner based in Acworth, GA and is specialized in Acute Care. Mackenzie Lurene Mashburn Grillo practices in Douglasville, GA and has the professional credentials of NP. The NPI Number for Mackenzie Lurene Mashburn Grillo is 1891205373 and holds a License No. RN191815 (Georgia).

The current practice location address for Mackenzie Lurene Mashburn Grillo is 8954 Hospital Dr, Douglasville, GA and can be reached out via phone at 678-640-5023. You can also correspond with Mackenzie Lurene Mashburn Grillo through the mailing address at 3316 HIGH NOONTIDE WAY NW, ACWORTH, GA - 30101-6967 (mailing address contact number: 678-640-5023).

Location: 8954 Hospital Dr, Douglasville, GA, 30101-6967
person
Provider Profile Details
NPI Number
1891205373
Provider Name
Mackenzie Lurene Mashburn Grillo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8954 Hospital Dr, Douglasville, GA, 30101-6967
Phone Number
678-640-5023
Fax Number
Provider Enumeration Date
10/10/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8954 Hospital Dr
City
State
Zip
30134-2272
Phone Number
678-640-5023
Fax Number
person
Provider Business Mailing Address Details
Address
8954 Hospital Dr
City
State
Zip
30134-2272
Phone Number
678-640-5023
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
RN191815 (Georgia)
Definition
Definition to come...
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