Individual provider · Type 1 NPI

Mary E. Grandon, PA-C

Physician Assistant · Clendenin, WV

NPI number 1790754638 Active

Practice location

107 Koontz Ave. Ste. 200
Clendenin, WV 25045

Fax (304) 548-7149

Mailing address

PO Box 70
Dawes, WV 25054

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X00616 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790754638

Mary E. Grandon, PA-C's National Provider Identifier is 1790754638, issued on Mar 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clendenin, WV. The record was last updated on May 21, 2020.