Individual
CONNIE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 PAULA CT, COLUMBUS, GA 31907-5264
(706) 330-6997
Mailing address
PO BOX 5054, COLUMBUS, GA 31906-0054
(706) 330-6997
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23089089
GA
251E00000X
Home Health Agency
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—
Other
Enumeration date
04/25/2023
Last updated
04/27/2023
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