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Grant Thomas Land, PA-C
Medical Physician Assistant in Conyers, Georgia
NPI 1508816570

Grant Thomas Land is a Medical Physician Assistant based in Covington, GA and is specialized in Medical. Grant Thomas Land practices in Conyers, GA and has the professional credentials of PA-C. The NPI Number for Grant Thomas Land is 1508816570 and holds a License No. 004108 (Georgia).

The current practice location address for Grant Thomas Land is 1445 Old Mcdonough Hwy Se, Suite E, Conyers, GA and can be reached out via phone at 770-922-9222 and via fax at 770-504-6318.

Location: 1445 Old Mcdonough Hwy Se, Suite E, Conyers, GA, 30014-2690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508816570
Provider Name
Grant Thomas Land
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1445 Old Mcdonough Hwy Se, Suite E, Conyers, GA, 30014-2690
Phone Number
770-922-9222
Fax Number
770-504-6318
Provider Enumeration Date
05/11/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003200095A 05 GA
004108 01 GA PA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1445 Old Mcdonough Hwy Se, Suite E
City
Conyers
State
Georgia
Zip
30094-7788
Phone Number
770-922-9222
Fax Number
770-504-6318
person
Provider Business Mailing Address Details
Address
1445 Old Mcdonough Hwy Se, Suite E
City
Conyers
State
Georgia
Zip
30094-7788
Phone Number
770-922-9222
Fax Number
770-504-6318
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
004108 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
004108 (Georgia)
Definition
Definition to come...
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