LARRY WELLS GRANT

MACON, GA
NPI1982730750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: GA  016802)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Dr. LARRY WELLS GRANT M.D.
350 HOSPITAL DR
MACON, GA 31217-3838
Phone number: 478-464-1326
Mailing Address
Dr. LARRY WELLS GRANT M.D.
4635 BRAE BURN LN
MACON, GA 31210-4710
Phone number: 478-474-8129
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