Individual
EVAN MICHAEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 BAGLEY CIR, SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE, MARION, VA 24354-3126
(276) 783-1200
Mailing address
340 BAGLEY CIR, SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE, MARION, VA 24354-3126
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101250288
VA
Other
Enumeration date
05/22/2007
Last updated
02/16/2012
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