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Gracie Hall Warren

Student in an Organized Health Care Education/Training Program in Augusta, GA. Individual provider (NPI-1).

NPI number1649123647
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1649123647
Entity type
Individual (NPI-1)
Name
Gracie Hall Warren
Sex
Female
Sole proprietor
No
Enumeration date
Feb 18, 2026
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramDN124299GAYes

Practice location

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001

Phone 706-721-2371

Mailing address

790 Camden Cir
Augusta, GA 30909-2361

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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.

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