| NPI | 1366745705 |
|---|---|
| Doing Business As | GRANTMED |
| Entity Type | Organization |
| Authorized Contact | JERRY HENRY GRANT Owner/Physician 870-862-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR E-0952) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2019-08-07 |