TEONDRA SHANTAY MCGRUDER (NPI# 1407320492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407320492 |
Entity Type | Individual |
Full Name | TEONDRA SHANTAY MCGRUDER |
Practice Address |
1032 Lakeview St Louisville GA 30434-5963 |
Practice Telephone | 4782062864 |
Mailing Telephone | 4782062864 |
Enumeration Date | 2019-01-14 |
Last Update Date | 2019-01-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CO131457 | GA | Other Service Providers |
Street Address |
1032 LAKEVIEW ST |
City | LOUISVILLE |
State | GA |
Zip Code | 30434-5963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255503934 | Tonya M Gunby Dmd PC | Dentist | 502 Screven Street, Louisville, GA 30434 | 2008-04-02 |
1023187564 | Bobbie W. Jones | Registered Nurse | 2501 Hwy 1 N, Louisville, GA 30434 | 2006-11-07 |
1083797898 | Catherine Cates Rabun | Registered Nurse | 2501 U. S. Hwy 1 N, Louisville, GA 30434 | 2006-10-23 |
1659461028 | Shirlee T. Johnson | Registered Nurse | 2501highway 1 N, Louisville, GA 30434 | 2006-10-13 |
1033209572 | Janet Raines Pilcher | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-13 |
1760420202 | Andrea Byrd Doak | Physician Assistant | 1067 Peachtree St, Louisville, GA 30434 | 2006-06-04 |
1205889623 | Jefferson County Board of Health | Public Health or Welfare | 2501 U.S. Highway # 1 North, Louisville, GA 30434 | 2006-05-18 |
1467631648 | Kimberly J Clarkbrake | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2007-10-24 |
1114003241 | Mary Ellen Chalker | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-31 |
1376787499 | Positive Choice...a Step In The Right Direction | Community/Behavioral Health | 480 Forrest Dr, Louisville, GA 30434-1348 | 2009-04-21 |
Find all providers in zip 30434 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528552528 | Nachell Tashae Beeler | Specialist | 126 N 42nd St, Louisville, KY 40212-2606 | 2018-06-21 |
1669974168 | Danielle Mack | Specialist | 4611 Peachtree Ave, Louisville, KY 40215-2442 | 2018-03-01 |
1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
1386109379 | Quintina Love | Specialist | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2019-02-05 |
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 | LOUISVILLE |
Zip Code | 30434 |
Please comment or provide details below to improve the information on TEONDRA SHANTAY MCGRUDER.
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.