KIRK ANTHONY GRANTHAM

SHREVEPORT, LA
NPI1023241403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  MD.205467)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  TRN 14355)
Enumeration Date2009-09-01
Last Update Date2021-06-08
Business Address
Dr. KIRK ANTHONY GRANTHAM M.D.
2530 BERT KOUNS LOOP SUITE 138
SHREVEPORT, LA 71118-3132
Phone number: 318-588-4726
Mailing Address
Dr. KIRK ANTHONY GRANTHAM M.D.
PO BOX 1264
BENTON, LA 71006-1264
Phone number: 318-588-4726
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