Search › Mississippi › 363LF0000X
Micah Grant, FNP-C
NPI 1437558061 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3549 Bluecutt Rd
Columbus, MS 39705 - Phone
- (662) 570-4174
- Fax
- (662) 570-4108
- Organisation at this address
- Revive Physical Therapy, Llc
Revive Family Medical Clinic, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WE0003X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-09
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 Mississippi