Individual
DR. ALISSA MICHELLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 HIGHWAY 71 N, MENA, AR 71953-4304
(479) 394-5439
(479) 394-4357
Mailing address
900 HIGHWAY 71 N, MENA, AR 71953-4304
(479) 394-5439
(479) 394-4357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-7744
AR
Other
Enumeration date
07/20/2007
Last updated
06/11/2021
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