Individual
GRANT MERRITT MCGORY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 432-0384
Mailing address
24164 BELLEAU AVE, QUANTICO, VA 22134-5106
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
04/28/2026
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