Individual provider · Type 1 NPI

Gordon Gregory Grant Iv, DC

Chiropractor · Monroe, LA

NPI number 1750485041 Active

Practice location

3219 Hwy 165 N
Monroe, LA 71203-2519

Fax (318) 325-9882

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1397 (LA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1750485041

Gordon Gregory Grant Iv, DC's National Provider Identifier is 1750485041, issued on Sep 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Monroe, LA. The record was last updated on Jul 8, 2007.