Individual
DR. KELLY KATHERINE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 277700, ATLANTA, GA 30384-7700
(440) 717-6600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
243255
NY
207P00000X
Emergency Medicine Physician
Primary
34252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342524
—
SC
Enumeration date
05/20/2007
Last updated
01/12/2021
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