Individual
DR. COLIN MICHAEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2199 OLD BRIDGE RD, LAKE RIDGE, VA 22192-2911
(703) 357-9707
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202700
VA
Other
Enumeration date
06/22/2009
Last updated
01/18/2022
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