Individual
DR. TIMOTHY M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MSC 159, MACON, GA 31201-2102
(866) 507-5244
(855) 851-4405
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
056061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233480571A
—
GA
01
—
P00238255
RAIL ROAD MEDICARE - NEX
GA
Enumeration date
12/12/2006
Last updated
11/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us