Organization
R PEERY GRANT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH PERRY GRANT MD (PRESIDENT)
(404) 325-5733
Entity
Organization
Contact information
Practice address
1493 LAVISTA ROAD NE, ATLANTA, GA 30324-3846
(404) 325-5733
(404) 325-5733
Mailing address
1493 LAVISTA ROAD NE, ATLANTA, GA 30324-3846
(404) 325-5733
(404) 325-5733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10945
GA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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