Grady, Michael Jerome
Grady, Michael Jerome is an individual health care provider with primary practice located at 1311 Milstead Ave Ne , Conyers GA 30012-3829. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Grady, Michael Jerome can be contacted via phone (770) 483-2368.Contact Information
Primary practice address
1311 Milstead Ave Ne
Conyers GA 30012-3829
Phone: (770) 483-2368
Fax: (770) 785-5080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 029875 | Georgia |
Profile Details
| NPI number | 1083689533 |
|---|---|
| LBN Legal business name | Grady, Michael Jerome |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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