Individual
DR. GRANT J SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3702 2ND AVE., COLUMBUS, GA 31904
(706) 507-9209
(706) 507-9249
Mailing address
3702 2ND AVE, COLUMBUS, GA 31904-7408
(706) 507-9209
(706) 507-9249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY004241
GA
1223G0001X
General Practice Dentistry
DN122655
GA
207R00000X
Internal Medicine Physician
Primary
58922
GA
208000000X
Pediatrics Physician
58922
GA
Other
Enumeration date
05/12/2006
Last updated
10/31/2023
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