Tomiko Granada Mcghee
Contractor in Decatur, GA. Individual provider (NPI-1).
NPI number1740658384
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1740658384
- Entity type
- Individual (NPI-1)
- Name
- Tomiko Granada Mcghee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2015
- Certification date
- Jul 23, 2021
- Last updated
- Jul 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
3030 Waldrop CirDecatur, GA 30034-6797
Phone 678-847-1771
Mailing address
3030 Waldrop CirDecatur, GA 30034-6797
Phone 404-493-2632
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