| Robert Clyde Grant Md Pc | |
|
174 Prior St Se Gainesville GA 30501-3447 | |
| (770) 536-1381 | |
| (770) 532-8721 |
| Full Name | Robert Clyde Grant Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 174 Prior St Se, Gainesville, Georgia |
| Authorized Official Name and Position | Robert Clyde Grant (OWNER) |
| Authorized Official Contact | 7705361381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Clyde Grant Md Pc 174 Prior St Se Gainesville GA 30501-3447 Ph: (770) 536-1381 | Robert Clyde Grant Md Pc 174 Prior St Se Gainesville GA 30501-3447 Ph: (770) 536-1381 |
| NPI Number | 1881916427 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881916427 | NPI | - | NPPES |
| 000070815A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8102 (Georgia) | Primary |
William T. Jones, M.d.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1098 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-532-4517 Fax: 770-503-0267 | |
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