Organization
GRANT CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY GRANT D.C. (OWNER/PRESIDENT)
(270) 384-3271
Entity
Organization
Contact information
Practice address
908 RUSSELL RD, COLUMBIA, KY 42728-1036
(270) 384-3271
(270) 384-3271
Mailing address
908 RUSSELL RD, COLUMBIA, KY 42728-1036
(270) 384-3271
(270) 384-3271
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4303
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330968
BLUE CROSS AND BLUE SHIEL
KY
05
—
85900413
—
KY
Enumeration date
11/29/2007
Last updated
08/08/2014
Update your record
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