| NPI | 1316344906 |
|---|---|
| Doing Business As | GRANT FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIVIAN NELL HANNON Owner/C RN P 256-582-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |