GRADY ELMORE

ATHENS, GA
NPI1205834009
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN129091NP)
Enumeration Date2005-07-14
Last Update Date2007-07-08
Business Address
GRADY ELMORE N.P.
120 TRINITY PL
ATHENS, GA 30607-2100
Phone number: 706-543-2718
Mailing Address
GRADY ELMORE N.P.
120 TRINITY PL
ATHENS, GA 30607-2100
Phone number: 706-543-2718
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