Individual
DR. JOHN LELAND GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3909 STONEBRIDGE CT, CHESAPEAKE, VA 23321
(757) 670-5446
Mailing address
3909 STONEBRIDGE CT, CHESAPEAKE, VA 23321
(757) 670-5446
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101038829
VA
207T00000X
Neurological Surgery Physician
29113
NC
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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