Search › Georgia › 363AM0700X
Grant Land, PA-C
NPI 1508816570 · on the registry since 2006
Practice
- Address
- 1445 Old Mcdonough Hwy Se, Suite E
Conyers, GA 30094 - Phone
- (770) 922-9222
- Fax
- (770) 504-6318
- Organisation at this address
- Prosthetic Care, Llc
Medical Centre Of ConyersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-23
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