Individual
DORRETTE PATRICE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1341 WALTER REED RD, FAYETTEVILLE, NC 28304-4415
(910) 615-3500
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(910) 488-7548
(866) 376-8277
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036111115
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
200000063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909310
—
NC
Enumeration date
07/27/2006
Last updated
02/23/2026
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