Grant, Alim Jamal
Grant, Alim Jamal is an individual health care provider with primary practice located at 3280 Old Alabama Rd Suite 200, Johns Creek GA 30022-8544. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grant, Alim Jamal can be contacted via phone (404) 437-7331.Contact Information
Primary practice address
3280 Old Alabama Rd Suite 200
Johns Creek GA 30022-8544
Phone: (404) 437-7331
Fax: (404) 437-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012743 | Georgia |
Profile Details
| NPI number | 1710012943 |
|---|---|
| LBN Legal business name | Grant, Alim Jamal |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Oct 10th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710012943 | NPPES |
| Georgia | Other | 1487913 | UNITED CONCORDIA INSURANC |
| Georgia | MEDICAID | 904873006B | UNITED CONCORDIA INSURANC |
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