MR. George K Grant, IDC
NPI #1235469644 in Groton, Connecticut
Provider Information
- NPI Number
- 1235469644
- Entity Type
- Individual
- Name
- MR. George K Grant, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jan 6, 2010
- Last Updated
- Jan 6, 2010
Practice Location
- Address
- 195 MICHELLE LN
- Address 2
- APT 304
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-4278
- Phone
- (360) 396-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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