Individual
MR. CHRISTOPHER LARRY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.EEG T.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
716 MILL BAY DR, STEDMAN, NC 28391-8453
(910) 916-2319
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
N
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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