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George Grant, IDC

NPI 1235469644 · on the registry since 2010

Practice

Address
195 Michelle Ln
Apt 304
Groton, CT 06340
Phone
(360) 396-6789

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2010-01-06
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut