Individual provider · Type 1 NPI

Edward Keith Grant, PA-C

Surgical Physician Assistant · Macon, GA

NPI number 1245236744 Active

Practice location

3708 Northside Dr
Macon, GA 31210-2404

Call (478) 745-4206 Map

Fax (478) 254-5463

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X4120 (GA)
Surgical Physician Assistant Primary 363AS0400X4120 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1245236744

Edward Keith Grant, PA-C's National Provider Identifier is 1245236744, issued on Jun 21, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Macon, GA. The record was last updated on Jan 26, 2026.