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Contact Information

JACQUELINE H GRANT, MD, MPH, MPA
2000 10TH AVE STE 100
COLUMBUS, GA31901-3703
 Phone: 706-571-1285
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACQUELINE H GRANT · (Female)

NPI Number 1124189600
Status Active
Credentials MD, MPH, MPA
Entity Individual
Enumeration date 12/12/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 032570
  • NC License # 2015-00684
  • GA Medicaid 695415663A
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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