Johnathan K Grandy, PA

NPI #1932130507 in Augusta, Maine

Provider Information

NPI Number: 1932130507
Entity Type: Individual
Name: Johnathan K Grandy, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 5, 2006
Last Updated: Aug 1, 2018

Practice Location

Address: 35 MEDICAL CENTER PARKWAY
City: Augusta
State: Maine
ZIP Code: 04330
Phone: (207) 877-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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