Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teondra Shantay McGruder

Individual provider Prosthetics Case Management · NPI 1407320492

Teondra Shantay McGruder is a Prosthetics Case Management in Louisville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1032 Lakeview St
Louisville, GA 30434-5963
Phone: (478) 206-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence CO131457 (GA)

Record details

NPI number1407320492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2019
Last updated in NPPESJanuary 14, 2019