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Individual
GRANT JERNIGAN
Active
Individual
GRANT JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28346
MS
208M00000X
Hospitalist Physician
Primary
28346
MS
Other
Enumeration date
03/22/2018
Last updated
08/10/2023
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