Individual
DR. GRANT PAUL MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1065 SULLIVAN RD, SUITE C, NEWNAN, GA 30265-5545
(770) 254-9997
(770) 254-0134
Mailing address
481 GRANT ST SE, ATLANTA, GA 30312-3154
(404) 932-7163
(770) 254-9997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1560
GA
Other
Enumeration date
03/20/2007
Last updated
03/11/2015
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