Organization
WEST COUNTY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN L GRANDISON MD (OWNER PRESIDENT)
(413) 625-9717
Entity
Organization
Contact information
Practice address
25 HEATH STAGE TERRACE, SHELBURNE FALLS, MA 01370
(413) 625-9717
(413) 625-9329
Mailing address
25 HEATH STAGE TERRACE, SHELBURNE FALLS, MA 01370
(413) 625-9717
(413) 625-9329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97071X0
—
MA
Enumeration date
12/01/2006
Last updated
08/22/2020
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