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Contact Information

KEIONNA D GRANT, MD
755 WALTHER RD
LAWRENCEVILLE, GA30046-8725
 Phone: 770-758-7482
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KEIONNA D GRANT · (Female)

NPI # 1427581461
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2017
Last updated 06/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 85916
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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