JOHNATHAN K GRANDY

AUGUSTA, ME
NPI1932130507
Other NameJOHN K GRANDY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  010477)
Enumeration Date2006-07-05
Last Update Date2018-08-01
Business Address
JOHNATHAN K GRANDY PA
35 MEDICAL CENTER PARKWAY
AUGUSTA, ME 04330
Phone number: 207-877-3400
Mailing Address
JOHNATHAN K GRANDY PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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