Teondra Shantay Mcgruder

NPI #1407320492 in Louisville, Georgia

Provider Information

NPI Number
1407320492
Entity Type
Individual
Name
Teondra Shantay Mcgruder
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Jan 14, 2019
Last Updated
Jan 14, 2019

Practice Location

Address
1032 LAKEVIEW ST
State
Georgia
ZIP Code
30434-5963
Phone
(478) 206-2864

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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