CHARLES EDWARD GRANT

RINCON, GA
NPI1487962015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001167)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
Mr. CHARLES EDWARD GRANT ATC
405 ANGEL CT
RINCON, GA 31326-5562
Phone number: 912-728-7511
Mailing Address
Mr. CHARLES EDWARD GRANT ATC
405 ANGEL CT
RINCON, GA 31326-5562
Phone number: 912-728-7511
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