Individual provider · Type 1 NPI
Gladys Grissett
Driver · Doraville, GA
NPI number
1316494867
Active
Practice location
2300 Global Forum Blvd Unit 712
Doraville, GA 30340-4484
Mailing address
2300 Global Forum Blvd Apt 712
Doraville, GA 30340-4484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 16075520 (GA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1316494867
Gladys Grissett's National Provider Identifier is 1316494867, issued on Sep 1, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Doraville, GA. The record was last updated on Sep 1, 2016.