Individual
MICHELLE JULITTEE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13430 HOOVER CREEK BLVD, CHARLOTTE, NC 28273-0054
(480) 848-7172
Mailing address
206 NOTABLE LN, EBENEZER VILLAGE, ROCK HILL, SC 29732-8331
(803) 833-0314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023209862
SC
Other
Enumeration date
07/08/2024
Last updated
08/30/2024
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