Individual provider · Type 1 NPI
Erich J. Grant, PA
Medical Physician Assistant · Winston Salem, NC
NPI number
1164464327
Active
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
PO Box 344
Winston Salem, NC 27102-0344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0010-00193 (NC) |
Medical Physician Assistant: Definition to come...
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About NPI 1164464327
Erich J. Grant, PA's National Provider Identifier is 1164464327, issued on Jun 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 24, 2009.