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Robert Clyde Grant Md Pc
Clinic/Center in Gainesville, Georgia
NPI 1881916427

Robert Clyde Grant Md Pc is a Clinic/Center based in Gainesville, GA. Robert Clyde Grant Md Pc practices in Gainesville, GA. The NPI Number for Robert Clyde Grant Md Pc is 1881916427 and holds a License No. 8102 (Georgia).

The current practice location address for Robert Clyde Grant Md Pc is 174 Prior St Se, Gainesville, GA and can be reached out via phone at 770-536-1381 and via fax at 770-532-8721.

Location: 174 Prior St Se, Gainesville, GA, 30501-3447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881916427
Provider Name
Robert Clyde Grant Md Pc
Credential
Provider Entity Type
Organization
Address
174 Prior St Se, Gainesville, GA, 30501-3447
Phone Number
770-536-1381
Fax Number
770-532-8721
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000070815A 05 GA
institution
Provider Business Practice Location Address Details
Address
174 Prior St Se
City
Gainesville
State
Georgia
Zip
30501-3447
Phone Number
770-536-1381
Fax Number
770-532-8721
person
Provider Business Mailing Address Details
Address
174 Prior St Se
City
Gainesville
State
Georgia
Zip
30501-3447
Phone Number
770-536-1381
Fax Number
770-532-8721
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
8102 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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