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Individual

DR. JOEL T GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
160 WARRIOR DR, STEPHENS CITY, VA 22655-4044
(540) 868-4100
(540) 868-0888
Mailing address
160 WARRIOR DR, STEPHENS CITY, VA 22655-4044
(540) 868-4100
(540) 868-0888

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233394
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010080029
VA
01
0107195
UNITED HEALTHCARE VA
VA
01
0107692
UNITED HEALTHCARE
VA
01
137798
ANTHEM
VA
01
2124718
MAMSI
VA
01
242915
SOUTHERN HEALTH
VA
01
75787
COMMUNITY HEALTH
VA
01
861102088
TAX ID AMERIHLTH, TRICARE
VA
01
9588527
CIGNA
VA
Enumeration date
03/17/2006
Last updated
07/19/2022
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