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Koliandra Grayson
NPI 1689235996 · on the registry since 2019 · sole proprietor
Practice
- Address
- 30 Warren C Coleman Blvd N
Concord, NC 28027 - Phone
- (980) 785-1113
- Fax
- (980) 785-1114
- Organisation at this address
- Eckerd Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina