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Contact Information

TASHUA L GRIZZLE, RN
4131 MERLE CT
MCDONOUGH, GA30252-8125
 Phone: 678-772-0830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for TASHUA L GRIZZLE · (Female)

NPI Number 1427709054
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/14/2022
Last updated 01/14/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # NHA004969
  • GA License # RN29755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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