Most Relevant Information
Provider Data
| NPI Number: | 1003205287 |
| Provider Name: | DACENTA GRICE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 003279 |
Most Important Dates
| Enumeration Date: | 01/12/2015 |
| Last Updated: | 02/19/2019 |
Provider Practice Location
2140 PEACHTREE RD NW STE 232
ATLANTA
GA
30309
Practice Location Phone/Fax
| Phone: | 4042314431 |
| Fax: | 4042315677 |
Provider Mailing Location
2140 PEACHTREE RD NW STE 232
ATLANTA
GA
303091316
Provider Mailing Phone/Fax
| Phone: | 4042314431 |
| Fax: | 4042315677 |