Grady, Alicia
Grady, Alicia is an individual health care provider with primary practice located at 5910 Hillandale Dr Ste 202 , Lithonia GA 30058-1878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grady, Alicia can be contacted via phone (404) 778-8600.Contact Information
Primary practice address
5910 Hillandale Dr Ste 202
Lithonia GA 30058-1878
Phone: (404) 778-8600
Fax: (770) 322-7983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 055368 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55368 | Georgia |
Profile Details
| NPI number | 1235113002 |
|---|---|
| LBN Legal business name | Grady, Alicia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Mar 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235113002 | NPPES |
| Georgia | MEDICAID | 879982349C |
Popular Providers
-
Ojo, Olufunso A
8225 Mall Pkwy Suite 240, Lithonia GA 30038-6946 -
Watkins, Clyde
5900 Hillandale Drive , Lithonia GA 30058 -
Bookhart, Ronald C
5440 Hillandale Drive Internal Medicine Health Care Team B, Lithonia GA 30058 -
Anuebunwa, Theodore O
2801 Dekalb Medical Pkwy , Lithonia GA 30058-4996 -
Duncan, Wallace
5900 Hillandale Dr Annex E, Lithonia GA 30058-3802 -
Davis, Claudia Ann
2745 Dekalb Medical Pkwy Suite 200, Lithonia GA 30058 -
Carter, Kimberly
5440 Hillandale Dr , Lithonia GA 30058-4865 -
Thurmond, Earl H
5440 Hillandale Dr Internal Medicine Health Care Team A, Lithonia GA 30058-4865