DR. George R Grant, MD

NPI #1376565788 in Mattoon, Illinois

Provider Information

NPI Number: 1376565788
Entity Type: Individual
Name: DR. George R Grant, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Jul 24, 2006
Last Updated: Mar 2, 2012

Practice Location

Address: 1000 HEALTH CENTER DRIVE
City: Mattoon
State: Illinois
ZIP Code: 61938-0372
Phone: (217) 258-2551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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