LAWANNA TREMETRICE GRAY (NPI# 1205338449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205338449 |
Entity Type | Individual |
Full Name | LAWANNA TREMETRICE GRAY |
Practice Address |
3741 College St College Park GA 30337-3541 |
Practice Telephone | 4049143303 |
Mailing Telephone | 4049143303 |
Enumeration Date | 2018-03-04 |
Last Update Date | 2018-03-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CO088919 | GA | Other Service Providers |
Street Address |
3741 COLLEGE ST |
City | COLLEGE PARK |
State | GA |
Zip Code | 30337-3541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
Find all providers in zip 30337 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790316206 | Antjuan Mandwell Bunn | Specialist | 8147 Baltimore Ave Ste C, College Park, MD 20740-2492 | 2020-02-03 |
1881188787 | Shandrika Dannae Washington | Specialist | 5400 Riverstation Blvd Ste 104, College Park, GA 30349-5303 | 2018-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225638448 | Shariyfa Ferron | Specialist | 1864 Scenic Hwy N Ste 112, Snellville, GA 30078-2549 | 2020-10-27 |
1851908016 | Takenya Lacole Jordan | Specialist | 2231 Dawson Rd Ste Ij, Albany, GA 31707-3227 | 2020-09-30 |
1437765724 | Shanea Buie | Specialist | 5977 Whitesville Rd Ste 20, Columbus, GA 31904-3618 | 2020-09-22 |
1114537313 | Kimberly Melissa Sampson | Specialist | 2386 Clower St Ste 102, Snellville, GA 30078-6134 | 2020-08-04 |
1295351302 | Marquisha General | Specialist | 1639 Lower Roswell Rd, Marietta, GA 30068-3343 | 2020-06-24 |
1053937805 | Angela D Zanders | Specialist | 1600 E Forsyth St, Americus, GA 31709-3856 | 2020-06-17 |
1770107526 | Natasha Monic Douglas | Specialist | 1630 Scenic Hwy N, Snellville, GA 30078-5647 | 2020-06-07 |
1518595479 | Jacque Monae LLC | Specialist | 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 | 2020-03-27 |
1518592716 | Naquiesha Peterson | Specialist | 3510 Ponderosa Ln, Powder Springs, GA 30127-2074 | 2020-03-08 |
1295368900 | Doris Huff Hardeman | Specialist | 75 Rolling Ridge Dr, Covington, GA 30016-1823 | 2020-02-20 |
Find all providers with the same taxonomy |
City | COLLEGE PARK |
Zip Code | 30337 |
Please comment or provide details below to improve the information on LAWANNA TREMETRICE GRAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.