Search › Georgia › 363LF0000X
Utrena Grant
NPI 1548760622 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1707 Saint Marys Dr
Waycross, GA 31501 - Phone
- (912) 282-1340
Additional practice sites
- 1707 Saint Marys Dr, Waycross, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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