Individual
JAMES GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(353) 374-6064
(352) 379-4044
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49460
FL
2085R0202X
Diagnostic Radiology Physician
ME49460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370260000
—
FL
Enumeration date
02/06/2006
Last updated
09/17/2013
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