GRANT CLINIC
Marriage and Family Therapists at 2 Ave, Grant, AL

License number
Alabama 3517
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: OLYMPIA TUCKER
Title: OFFICE MANAGER
Phone: (256) 728-4219
Address
Address
91 2Nd Ave, Grant, AL 35747
National Provider ID: 1669504585
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Grant Clinic PA

Grant, AL

Industry:
Medical Doctor's Office
Phone:
(256) 728-4219 (Phone)
Addresses:
91 2 St E, Grant, AL 35747
PO Box 429, Grant, AL 35747
Presidents:
Olon C. Tucker (President, Medical Doctor),Olympia Tucker (Office Manager),C. Tucker Olon President, inactive,...

Grant Clinic, P. A

Grant, AL 35747

Status:
Inactive
Registration:
Aug 1, 1973
State ID:
031-725
Business type:
Domestic Professional Association
Formation place:
Marshall County
Member:
Olon C Md Tucker (Member), Grant, AL 35747 (Physical)
Canceled Date:
Jul 3, 2012

Marriage and Family Therapists licenses in Alabama


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