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Andrea Grimes

Technician, Other in Snellville, GA. Individual provider (NPI-1).

NPI number1215860457
StatusActive
Last updated in NPPESJun 6, 2026

Details

NPI
1215860457
Entity type
Individual (NPI-1)
Name
Andrea Grimes
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2026
Certification date
Jun 6, 2026
Last updated
Jun 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, OtherNT015209GAYes

Practice location

2465 Oakland Spring Dr
Snellville, GA 30039-7960

Phone 404-890-0388

Mailing address

2465 Oakland Spring Dr
Snellville, GA 30039-7960

Phone 404-890-0388

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician, Other providers in Snellville, GA

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