CONNIE GRANT
Individual Provider (NPI-1)
Active
Home Health
Provider Information
- NPI Number
1063100337- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 529 PAULA CT, COLUMBUS, GA, 319075264
- Phone
- (706) 330-6997
Specialties & Taxonomies
Home Health
Home Health
Primary License: GA #23089089