Individual
CARRIE J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5754
(228) 875-0780
(228) 875-1009
Mailing address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5754
(228) 875-0780
(228) 875-1009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6488
GA
Other
Enumeration date
01/28/2013
Last updated
08/12/2020
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