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NPI Code Detail

MEDICARE: DR. JEREAN KAY GRAU PHARMD

MEDICARE: DR. JEREAN KAY GRAU PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208U00000XClinical Pharmacology PhysicianRPH00017154GA

General Provider Information

NPI Number : 1609792282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREAN KAY GRAU PHARMD
Provider Business Mailing Address
First Line : 419 GORDON CIR
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2621
Country : US
Telephone Number : 706-803-6276
Fax Number :
Provider Business Practice Location Address
First Line : 1514 VERNON RD
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4131
Country : US
Telephone Number : 706-803-6276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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