CORINE GRANT

NPI: 1568984615 · Individual · Active

Primary Specialty

Licensed Practical Nurse

Practice Location

40 LAKESIDE PT
COVINGTON, GA 30016-1290 Map ↗
Phone: 404-542-0644

All Specialties & Licenses

  • Licensed Practical Nurse Primary (license: LPN070839, GA)

NPI Registration

Enumerated: 2017-07-11

Last CMS Update: 2022-07-21