Individual
DR. JACQUELINE H GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH, MPA
Contact information
Practice address
2000 10TH AVE STE 100, COLUMBUS, GA 31901-3703
(706) 571-1285
Mailing address
UNC DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, 3010 OLD CLINIC BUILDING CB # 7516, CHAPEL HILL, NC 27599-7516
(919) 966-6444
(919) 966-6377
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
032570
GA
207VM0101X
Maternal & Fetal Medicine Physician
2015-00684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695415663A
—
GA
Enumeration date
12/12/2006
Last updated
03/07/2023
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