SearchGeorgia251E00000X

Grace Osiezagha

NPI 1053894618 · on the registry since 2018 · sole proprietor

Practice

Address
5549 Mccrossin Cir
Lithonia, GA 30038
Phone
(404) 917-5112
Fax
(770) 323-7512

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
106S00000X
172V00000X
174H00000X
175T00000X
251S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-10

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