Grandez, Emilio

Grandez, Emilio is an sole proprietor health care provider with primary practice located at 3785 Sixes Rd , Canton GA 30114-7809. He recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as his primary health care specialty. Grandez, Emilio can be contacted via phone (770) 720-3466.

Contact Information

Primary practice address
3785 Sixes Rd Canton GA 30114-7809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 029002 Georgia

Profile Details

NPI number 1033714365
LBN Legal business name Grandez, Emilio
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2020
Last updated Dec 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033714365 NPPES
Georgia Other 060005303 DRIVER'S LICENSE

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