SearchGeorgia376K00000X

Tiana Granville

NPI 1215711312 · on the registry since 2023 · sole proprietor

Practice

Address
2905 Waverly Place Dr
Dacula, GA 30019
Phone
(678) 223-1122

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
376J00000X
372600000X
374U00000X
385H00000X
Sex
Female
Record last updated
2023-08-21

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