Grady Elmore is a Nurse Practitioner in Athens, Georgia. Grady Elmore practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Grady Elmore is 1205834009. The last update date is 2007-07-08.
Grady Elmore's current location address is 120 Trinity Pl, Athens, Georgia. You can contact this provider via phone number 7065432718 and fax number 7063533709. The mailing address for Grady Elmore is 120 Trinity Pl, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady Elmore |
|---|---|
| Address | 120 Trinity Pl, Athens, Georgia |
| Phone Number | 7065432718 |
| Fax Number | 7063533709 |
| Sole Proprietor | X |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1205834009 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 Trinity Pl |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306072100 |
| Phone Number | 7065432718 |
| Fax Number | 7063533709 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN129091NP |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00887136A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Grady Elmore by the Centers for Medicare & Medicaid Services?
The Grady Elmore has been issued the NPI (National Provider Identifier) 1205834009, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Grady Elmore is located?
The Grady Elmore is situated at the following address: 120 Trinity Pl, Athens, GA, 306072100.
What is Grady Elmore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grady Elmore is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Grady Elmore receive its 1205834009 assignment from the Centers for Medicare & Medicaid Services?
The Grady Elmore was assigned its 1205834009 by the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information regarding Grady Elmore most recently updated?
The details pertaining to the Grady Elmore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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