Individual
HUGH JUDD GRANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL, STE 210, RALEIGH, NC 27607-7505
(919) 571-1040
(919) 781-0247
Mailing address
4414 LAKE BOONE TRL, STE 210, RALEIGH, NC 27607-7513
(919) 571-1040
(919) 781-0247
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36765
BCBS
—
05
—
7936765
—
NC
Enumeration date
06/10/2005
Last updated
11/05/2007
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