ROBERT CLYDE GRANT MD PC
Ambulatory Health at Prior St, Gainesville, GA

License number
Georgia 8102
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. ROBERT CLYDE GRANT MD
Title: OWNER
Phone: (770) 536-1381
Address
Address
174 Prior St SE, Gainesville, GA 30501
National Provider ID: 1881916427
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT CLYDE GRANT, M.D., PC

174 Prior St SE, Gainesville, GA 30501

Registration:
Aug 28, 1975
State ID:
H505980
Business type:
Domestic Profit Corporation
CEOs:
Nancy Grant (CFO), 174 Prior St, Gainesville, GA 30501 (Physical),Robert Grant (CEO), 174 Prior St, Gainesville, GA 30501 (Physical)
Agent:
Robert Clyde Grant,174 Prior St, Gainesville, GA (Physical)

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