Individual
DR. THOMAS R GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3110 WELLONS BLVD, NEW BERN, NC 28562-5247
(252) 638-2515
(252) 638-8538
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 638-2515
(252) 638-8538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2015-00874
NC
207Y00000X
Otolaryngology Physician
Primary
2015-00874
NC
Other
Enumeration date
01/20/2006
Last updated
03/17/2017
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