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1245484427
GRANT NH LLC
VALDOSTA, GA
NPI
1245484427
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Entity Type
Organization
Authorized Contact
DOUGLAS MOSS
Member
229-259-0032
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2008-11-14
Last Update Date
2012-01-05
Business Address
GRANT NH LLC
814 NORTHWOOD PARK DR
VALDOSTA, GA 31602-1398
Phone number: 229-259-0032
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Mailing Address
GRANT NH LLC
814 NORTHWOOD PARK DR
VALDOSTA, GA 31602-1398
Phone number: 229-259-0032
Copy
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