Individual
ROBERT GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1144 N ROAD ST STE 200, ELIZABETH CITY, NC 27909-3473
(252) 384-2360
(252) 384-2359
Mailing address
1144 N ROAD ST STE 200, ELIZABETH CITY, NC 27909-3473
(252) 384-2360
(252) 384-2359
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101250123
VA
207X00000X
Orthopaedic Surgery Physician
26510
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101250123
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2003-01234
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048618
ANTHEM BCBS
KY
01
—
200016599
RR MEDICARE
KY
01
—
4229925
AETNA
KY
05
—
65939795
—
KY
Enumeration date
08/01/2006
Last updated
04/23/2021
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