Individual
GRANT C SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 775-1400
Mailing address
78 WAKEFIELD DR NE, ATLANTA, GA 30309-1515
(678) 596-9656
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
89367
OH
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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