Grandon, Mary E

Grandon, Mary E is an individual health care provider with primary practice located at 107 Koontz Ave. Ste. 200 , Clendenin WV 25045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grandon, Mary E can be contacted via phone (304) 548-7272.

Contact Information

Primary practice address
107 Koontz Ave. Ste. 200 Clendenin WV 25045
Phone: (304) 548-7272
Fax: (304) 548-7149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00616 West Virginia

Profile Details

NPI number 1790754638
LBN Legal business name Grandon, Mary E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 21st, 2020 - about 5 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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