Search › Georgia › 101YP2500X
Dewayne Grant
NPI 1437582723 · on the registry since 2013 · sole proprietor
Practice
- Address
- 124 S Main St
Suite 2n
Jonesboro, GA 30236 - Phone
- (678) 215-8705
- Fax
- (770) 898-4385
- Organisation at this address
- Moving Mountains
M&A Home Care, Llc
Triad Med Solutions
Out Of The Woods Llc
Nevaeh Consulting, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 106H00000X
101YA0400X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-03
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