MATTHEW JOSEPH GRANNER

DYERSBURG, TN
NPI1992345045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-01-07
Last Update Date2023-08-10
Business Address
Mr. MATTHEW JOSEPH GRANNER
2035 SAINT JOHN AVE
DYERSBURG, TN 38024-2247
Phone number: 316-619-8257
Mailing Address
Mr. MATTHEW JOSEPH GRANNER
120 GENE ADAMS RD
MARTIN, TN 38237-8146
Phone number: 731-514-3708