M.D. Courtney L Grant, NPI 1033557459
Vascular Surgery Physician in Gainesville, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1033557459 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Courtney L Grant |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 725 Jesse Jewell Pkwy Se, Gainesville, GA, US |
| Provider Mailing Address | Po Box 742616, Atlanta, GA, US, 303742616 |
| Gender | Female |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Vascular Surgery Physician |
| Classification | |
| Group | |
| License No. | 86237 |
| License State | GA |
| Description | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0116025753 | VA | No | |||
| 86237 | GA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 003235364G | GA | MEDICAID | 05 |
| 003235364D | GA | MEDICAID | 05 |
| 003235364B | GA | MEDICAID | 05 |
| 003235364C | GA | MEDICAID | 05 |
| 003235364F | GA | MEDICAID | 05 |
| 003235364H | GA | MEDICAID | 05 |
| 003235364A | GA | MEDICAID | 05 |
| 003235364E | GA | MEDICAID | 05 |
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