Individual
DR. GRANT H NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10560 LIGON MILL RD, SUITE 109, WAKE FOREST, NC 27587-6090
(919) 556-4678
(919) 556-4619
Mailing address
10560 LIGON MILL RD, SUITE 109, WAKE FOREST, NC 27587-6090
(919) 556-4678
(919) 556-4619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067X6
BCBS OF NC
NC
01
—
700929
ACN
NC
Enumeration date
08/03/2006
Last updated
12/08/2014
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