Gregory Layne Grant PA-C

NPI 1336364942 - Physician Assistant - 363A00000X

NPI Details
NPI 1336364942
Gender Male
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
SAINT ALBANS WV, 25177-2652, US
Phone (304) 201-3150
Fax (304) 201-3159
Business Location
136 9TH AVE
HUNTINGTON WV, 25701-2708, US
Phone (304) 539-6214
Fax (304) 201-3159
Taxonomy Code 363A00000X
License State West Virginia
License Number WV 871
Remove 1336364942 NPI Number

According to our database, Gregory Layne Grant PA-C NPI is 1336364942, taxonomy code is 363A00000X and license number is WV 871, license state is located at West Virginia. Gregory Layne Grant PA-C physically located at 610 Dames St, Saint Albans WV, 25177-2652. NPI Number Gregory Layne Grant PA-C has the Individual type.

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1336364942 NPI number is provided on an as is basis without warranty of any kind. 1336364942 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Layne Grant PA-C are for informational purposes only.