Individual
DR. GORDON GREGORY GRANT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3219 HWY 165 N, MONROE, LA 71203-2519
(318) 387-5388
(318) 325-9882
Mailing address
3219 HWY 165 N, MONROE, LA 71203-2519
(318) 387-5388
(318) 325-9882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1397
LA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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