Individual
JERRY ALLEN GRANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 DOUG BAKER BLVD STE 100, HOOVER, AL 35242-2680
(205) 980-0035
(205) 980-1649
Mailing address
220 DOUG BAKER BLVD STE 100, HOOVER, AL 35242-2680
(205) 980-0035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2703
AL
207R00000X
Internal Medicine Physician
DO.2703
AL
Other
Enumeration date
04/21/2020
Last updated
08/14/2024
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