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Search › Georgia › 104100000X

Lukecia Grayson

NPI 1164710497 · on the registry since 2011 · sole proprietor

Practice

Address
790 Oak Trail Dr
Marietta, GA 30062
Phone
(770) 977-6866
Fax
(770) 783-8639
Organisation at this address
Moon River, Llc
Moon River, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2011-07-20

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