Individual
RICKY MCGRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 EASTWAY DR # 202, CHARLOTTE, NC 28205-5643
(704) 287-2796
Mailing address
3125 EASTWAY DR # 202, CHARLOTTE, NC 28205-5643
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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