| Myranda Grace, | |
|
3800 Augustine Pl, Rex, GA 30273-5822 | |
| (813) 727-9377 | |
| Not Available |
| Full Name | Myranda Grace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3800 Augustine Pl, Rex, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528924214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN105798 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Myranda Grace, 3800 Augustine Pl, Rex, GA 30273-5822 Ph: (813) 727-9377 | Myranda Grace, 3800 Augustine Pl, Rex, GA 30273-5822 Ph: (813) 727-9377 |
Mrs. Myisha Gaddy, LPN-RETIRED Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6459 Highway 42, Rex, GA 30273 Phone: 678-973-5257 | |
Mrs. Berthina Gaynell Weaver, PRACTICLE NURSE Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5820 Rex Ridge Loop, Rex, GA 30273 Phone: 404-643-4050 | |
Sallie Johnson, RN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 194 Wagon Wheel Dr, Rex, GA 30273 Phone: 770-389-0487 | |
Michele Shepherd Tigner, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6138 Amberly Rd, Rex, GA 30273 Phone: 678-665-8221 |