Thomas R Grant MD

NPI 1013997485 - Specialist - 174400000X

NPI Details
NPI 1013997485
Gender Male
Enumeration Date 01/20/2006
Last Updated 07/17/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3110 WELLONS BLVD
NEW BERN NC, 28562-5247, US
Phone (252) 638-2515
Fax (252) 638-8538
Business Location
PO BOX 602522
CHARLOTTE NC, 28260-2522, US
Phone (252) 638-2515
Fax (901) 753-9659
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01055196A
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According to our database, Dr. Thomas R Grant MD NPI is 1013997485, taxonomy code is 174400000X and license number is 01055196A, license state is located at Indiana. Thomas R Grant MD physically located at 3110 Wellons Blvd, New Bern NC, 28562-5247. NPI Number Thomas R Grant MD has the Individual type.

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1013997485 NPI number is provided on an as is basis without warranty of any kind. 1013997485 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas R Grant MD are for informational purposes only.