Individual
ERIC T GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1111
Mailing address
1705 TARBORO ST SW, WILSON, NC 27893-3437
(252) 399-8040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07923
NC
363AM0700X
Medical Physician Assistant
0010-07923
NC
363AM0700X
Medical Physician Assistant
01295
WV
Other
Enumeration date
09/25/2007
Last updated
09/19/2023
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