Individual
GRANT MICHAEL CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 734-2778
Mailing address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-3860
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
01087925A
IN
208D00000X
General Practice Physician
01087925A
IN
Other
Enumeration date
03/25/2021
Last updated
03/24/2026
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