Individual
SHERRY ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 CREEKSIDE WAY, METTER, GA 30439-7505
(912) 685-4280
(912) 330-1037
Mailing address
9019 OAKFIELD DR, STATESBORO, GA 30461-7386
(912) 682-5291
(912) 330-1037
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
ADC000197
GA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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