Individual
DR. JONATHAN DOUGLAS GRANT
Active
Individual
DR. JONATHAN DOUGLAS GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10124565-1205
UT
2085R0001X
Radiation Oncology Physician
2015-00676
NC
2085R0001X
Radiation Oncology Physician
38030
SC
2085R0001X
Radiation Oncology Physician
AU3354177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861738189
—
NC
05
—
GA1773
—
SC
Enumeration date
12/13/2012
Last updated
01/12/2017
Update your record
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