person
Erich J Grant, PA
Medical Physician Assistant in Winston Salem, North Carolina
NPI 1164464327

Erich J Grant is a Medical Physician Assistant based in Winston Salem, NC and is specialized in Medical. Erich J Grant practices in Winston Salem, NC and has the professional credentials of PA. The NPI Number for Erich J Grant is 1164464327 and holds a License No. 0010-00193 (North Carolina).

The current practice location address for Erich J Grant is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
person
Provider Profile Details
NPI Number
1164464327
Provider Name
Erich J Grant
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187893 01 MEDCOST
7129789 01 AETNA
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0010-00193 (North Carolina)
Definition
Definition to come...
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