Amelia Grantham
NPI #1073810123 in Fort Rucker, Alabama
Provider Information
- NPI Number
- 1073810123
- Entity Type
- Individual
- Name
- Amelia Grantham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 24, 2011
- Last Updated
- Feb 24, 2011
Practice Location
- Address
- BUILDING 301 ANDREWS AVE
- Address 2
- LYSTER ARMY HEALTH CLINIC
- City
- Fort Rucker
- State
- Alabama
- ZIP Code
- 36362-5333
- Phone
- (334) 255-7547
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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