MACKENZIE LURENE MASHBURN GRILLO

DOUGLASVILLE, GA
NPI1891205373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: GA  RN191815)
Enumeration Date2017-10-10
Last Update Date2017-10-10
Business Address
MACKENZIE LURENE MASHBURN GRILLO NP
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134-2272
Phone number: 678-640-5023
Mailing Address
MACKENZIE LURENE MASHBURN GRILLO NP
3316 HIGH NOONTIDE WAY NW
ACWORTH, GA 30101-6967
Phone number: 678-640-5023
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