Organization · Type 2 NPI
Southern Grace Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Conyers, GA
NPI number
1760389100
Active
Practice location
1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Conyers
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About NPI 1760389100
Southern Grace Psychiatry LLC's National Provider Identifier is 1760389100, issued on Oct 20, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Conyers, GA. The record was last updated on Oct 20, 2026.