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Contact Information

LAURA GRANT
702 MARTIN LUTHER KING ST
MOUND BAYOU, MS38762-9314
 Phone: 662-402-5997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for LAURA GRANT · (Female)

NPI Number 1295290872
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2019
Last updated 02/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
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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