Abigail Renee Grant

NPI #1912539628 in Nitro, West Virginia

Provider Information

NPI Number: 1912539628
Entity Type: Individual
Name: Abigail Renee Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Feb 11, 2020
Last Updated: Feb 11, 2020

Practice Location

Address: 123 MAIN AVE
City: Nitro
State: West Virginia
ZIP Code: 25143-1270
Phone: (304) 550-7153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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