# COURTNEY L GRANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033557459
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 0116025753 | VA | — |
| 208600000X | Surgery Physician | 86237 | GA | — |
| 2086S0129X | Vascular Surgery Physician | 86237 | GA | Yes |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 02/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003235364A | — | GA |
| 05 | — | 003235364B | — | GA |
| 05 | — | 003235364C | — | GA |
| 05 | — | 003235364D | — | GA |
| 05 | — | 003235364E | — | GA |
| 05 | — | 003235364F | — | GA |
| 05 | — | 003235364G | — | GA |
| 05 | — | 003235364H | — | GA |