Individual
PATRICK S GRANT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 13TH ST, COLUMBUS, GA 31901-2248
(706) 887-5030
(706) 243-1877
Mailing address
61 IVY LOOP, PHENIX CITY, AL 36867-7123
(706) 615-0514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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