Search › Louisiana › 171M00000X
Broderick Grant
NPI 1528414190 · on the registry since 2016
Practice
- Address
- 2511 Gary St
Winnsboro, LA 71295 - Phone
- (318) 439-9655
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2018-05-25
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 Louisiana