| Doctor Name: | MRS. JANET LENISE MCGRUDER |
| NPI Number: | 1003965716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN127390 |
| Business Practice Address: | 1920 John E Wesley Ave College Park, GA - 30337 |
| Business Phone Number: | 4047654155 |
| Business Fax Number: | 4047654149 |
| Mailing Address: | 99 Jesse Hill Jr Drive Se, ATLANTA |
| State: | GA |
| Postal Code: | 30303 |
| Phone Number: | 4047301217 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN127390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |