Individual provider · Type 1 NPI

Grant Harrison Irby

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1730912486 Active

Practice location

3955 Straton Hall Way
Marietta, GA 30066-3082

Call (404) 790-3640 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730912486

Grant Harrison Irby's National Provider Identifier is 1730912486, issued on Aug 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Aug 20, 2024.