Individual
DR. TERRY ALAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9417
(919) 580-0004
(919) 580-9099
Mailing address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9417
(919) 580-0004
(919) 580-9099
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39603
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36802
BLUE CROSS BLUE SHIELD
—
05
—
8936802
—
NC
Enumeration date
06/22/2005
Last updated
06/05/2024
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