# GRANT CARLYLE FERRELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659017713
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 50.008676RX | OH | — |
| 363A00000X | Physician Assistant | — | FL | Yes |
| 363AM0700X | Medical Physician Assistant | — | FL | — |
| 363AS0400X | Surgical Physician Assistant | — | FL | — |

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 03/04/2024