Individual provider · Type 1 NPI

Marlie Driver Grogan, NP

Family Nurse Practitioner · Byron, GA

NPI number 1508561622 Active

Practice location

6005 Watson Blvd Ste 100
Byron, GA 31008-6749

Fax (478) 956-5003

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-NP292113 (GA)
Registered Nurse 163W00000XRN292113 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1508561622

Marlie Driver Grogan, NP's National Provider Identifier is 1508561622, issued on Mar 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Byron, GA. The record was last updated on Nov 11, 2025.