Individual
ANTHONY WAYNE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
908 RUSSELL ROAD, COLUMBIA, KY 42728
(270) 384-3270
(270) 384-3271
Mailing address
908 RUSSELL ROAD, COLUMBIA, KY 42728
(270) 384-3270
(270) 384-3271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4303
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330968
BLUE CROSS PIN
KY
05
—
85900413
—
KY
Enumeration date
10/04/2006
Last updated
08/08/2014
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