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Teondra Mcgruder
NPI 1407320492 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1032 Lakeview St
Louisville, GA 30434 - Phone
- (478) 206-2864
Registry record
- Primary taxonomy
- Prosthetics Case Management
1744P3200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-14
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