EDWARD KEITH GRANT

MACON, GA
NPI1245236744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004120)
Enumeration Date2005-06-21
Last Update Date2011-06-01
Business Address
-- EDWARD KEITH GRANT P.A.
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
Mailing Address
-- EDWARD KEITH GRANT P.A.
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206