Sandra N/a McGrady
Individual provider Active NPI Contractor · Smithville, GA
NPI 1326529173 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1326529173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 160 Cedar St
Smithville, GA 31787-2477 - Phone
- (404) 403-2882
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
160 Cedar St
Smithville, GA 31787-2477
Mailing address
160 Cedar St
Smithville, GA 31787-2477
Phone (404) 403-2882
Other providers in Smithville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.