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Individual

JAMES W GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
91 ENTERPRISE DR, ROCKY MOUNT, NC 27804-9590
(252) 451-3100
(252) 937-3106
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26825
NC
2080P0202X
Pediatric Cardiology Physician
26825
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1563457
CIGNA HEALTHCARE
NC
01
259126
UNITED HEALTH CARE
NC
01
36770
BCBSNC
NC
01
370007244
RAILROAD MEDICARE
NC
01
5541070
AETNA
NC
01
66487
MEDCOST
NC
05
7936770
NC
Enumeration date
09/08/2005
Last updated
03/08/2019
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