GEORGE R GRANT

MATTOON, IL
NPI1376565788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2001022239)
Enumeration Date2006-07-24
Last Update Date2012-03-02
Business Address
Dr. GEORGE R GRANT MD
1000 HEALTH CENTER DRIVE
MATTOON, IL 61938-0372
Phone number: 217-258-2551
Mailing Address
Dr. GEORGE R GRANT MD
320 E HIGHWAY 50
O FALLON, IL 62269-2704
Phone number: 618-624-3368
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