NPI 1568984615

Corine Grant

Practitioner Licensed Practical Nurse Covington, GA

Practice location

Address: 40 Lakeside PT, Covington, GA 30016-1290
Phone: (404) 542-0644

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN070839 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1568984615
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2017
Record last updated: 21 Jul 2022

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.