Individual
DR. GARFIELD ALEXANDER GRANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 23RD ST STE 430, ASHLAND, KY 41101-2885
(606) 408-8200
(606) 408-6291
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
35.132779
OH
207RG0100X
Gastroenterology Physician
Primary
42842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066758
—
OH
05
—
3810023286
—
WV
05
—
7100207000
—
KY
01
—
P00665875
MEDICARE RAILROAD
MN
Enumeration date
03/28/2007
Last updated
03/15/2022
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