Gregory Layne Grant, PA-C

NPI #1336364942 in Saint Albans, West Virginia

Provider Information

NPI Number: 1336364942
Entity Type: Individual
Name: Gregory Layne Grant, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 610 DAMES ST
City: Saint Albans
State: West Virginia
ZIP Code: 25177-2652
Phone: (304) 201-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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