Search › Georgia › 101YP2500X
Kacie Dentleegrand
NPI 1023942323 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2298 Brockett Rd
Tucker, GA 30084 - Phone
- (706) 425-8900
- Fax
- (706) 425-8600
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia