Individual
CAROLINE GRACE GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1833
(205) 409-0525
Mailing address
15277 HILLVIEW RD, COKER, AL 35452-3018
(205) 826-2771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-182730
AL
363L00000X
Nurse Practitioner
Primary
1-182730
AL
Other
Enumeration date
09/13/2021
Last updated
08/27/2024
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