Individual
MR. DARRELL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DBA(THE MED DOCTORS)
Contact information
Practice address
1119 HOOVER LAKE CT, WESTERVILLE, OH 43081-1919
(866) 531-0822
(866) 531-0822
Mailing address
1119 HOOVER LAKE CT, WESTERVILLE, OH 43081-1919
(866) 531-0822
(866) 531-0822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NONE REQUIRED
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111646
—
OH
Enumeration date
01/02/2008
Last updated
01/02/2008
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