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1336708882
GRANT GARNER DAVIDSON
WINSTON SALEM, NC
NPI
1336708882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 1161876)
Enumeration Date
2019-06-09
Last Update Date
2019-06-09
Business Address
GRANT GARNER DAVIDSON PA-C
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
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Mailing Address
GRANT GARNER DAVIDSON PA-C
4766 EAGLE PATH
WINSTON SALEM, NC 27127-6816
Phone number: 803-486-1066
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