Individual
DR. JOSEPH DALE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
364 OPIE ARNOLD ROAD, LIMESTONE, TN 37681-0337
(423) 257-2340
(423) 257-8627
Mailing address
PO BOX 337, LIMESTONE, TN 37681-0337
(423) 257-2340
(423) 257-8627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT001064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86853
BLUE CROSS BLUE SHEILD
TN
Enumeration date
02/02/2007
Last updated
08/13/2009
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