SearchGeorgia2255A2300X

Charles Grant, ATC

NPI 1487962015 · on the registry since 2010

Practice

Address
405 Angel Ct
Rincon, GA 31326
Phone
(912) 728-7511
Fax
(912) 729-7529

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-16

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 Georgia