Individual
PATRICK GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 1ST ST N, ALABASTER, AL 35007-8703
(205) 871-4274
Mailing address
2000A SOUTHBRIDGE PARKWAY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117071
—
AL
05
—
117073
—
AL
05
—
117484
—
AL
01
—
511-03953
BLUE CROSS
AL
01
—
511-03958
BLUE CROSS
AL
01
—
511-03959
BLUE CROSS
AL
Enumeration date
05/14/2007
Last updated
12/30/2015
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