Individual provider · Type 1 NPI

Shervonne Grose

Student in an Organized Health Care Education/Training Program · Macon, GA

NPI number 1073090957 Active

Practice location

1902 Forsyth St Ste D
Macon, GA 31201-8132

Call (478) 476-0805 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073090957

Shervonne Grose's National Provider Identifier is 1073090957, issued on Jul 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Macon, GA. The record was last updated on Jul 24, 2018.