Individual
QUINTESIA L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(770) 793-7899
(770) 793-7856
Mailing address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(770) 793-7899
(770) 793-7856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 34140
AL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
076563
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD2024-0008
NM
Other
Enumeration date
03/22/2012
Last updated
01/31/2025
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