NPI 1003205287

Dacenta Grice, PA

Practitioner Medical Physician Assistant Atlanta, GA

Practice location

Address: 2140 Peachtree Rd NW STE 232, Atlanta, GA 30309
Phone: (404) 231-4431
Fax: (404) 231-5677
Mailing address: 2140 Peachtree Rd NW STE 232, Atlanta, GA 30309-1316

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 003279 (GA)

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Registry record

NPI: 1003205287
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2015
Record last updated: 19 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.