TEONDRA SHANTAY MCGRUDER
NPI 1407320492
Specialist - Prosthetics Case Management in Louisville, GA
- Individual
- Female
- Specialist
- Prosthetics Case Management
About TEONDRA MCGRUDER
This page provides the complete NPI Profile along with additional information for Teondra Mcgruder, a provider established in Louisville, Georgia with a medical specialization in Specialist, focusing in prosthetics case management . The healthcare provider is registered in the NPI registry with number 1407320492 assigned on January 2019. The practitioner's primary taxonomy code is 1744P3200X with license number CO131457 (GA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1407320492 Verify this NPI
- Provider Name
- TEONDRA SHANTAY MCGRUDER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1032 LAKEVIEW ST LOUISVILLE, GA 30434
- Location Phone
- (478) 206-2864
- Mailing Address
- 1032 LAKEVIEW ST LOUISVILLE, GA 30434
- Mailing Phone
- (478) 206-2864
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-14-2019
- Last Update Date
- 01-14-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist Prosthetics Case Management
- Taxonomy Code
- 1744P3200X
- Type
- Other Service Providers
- License No.
- CO131457
- License State
- GA
- Taxonomy Description
- Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407320492, enumerated as an "individual" on January 14, 2019.
The provider is located at 1032 LAKEVIEW ST LOUISVILLE, GA 30434 and the phone number is (478) 206-2864.
Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.
