Individual
GRANT HARRISON IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3955 STRATON HALL WAY, MARIETTA, GA 30066-3082
(404) 790-3640
Mailing address
3955 STRATON HALL WAY, MARIETTA, GA 30066-3082
(404) 790-3640
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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