Grant, Robert Wilson

Grant, Robert Wilson is an individual health care provider with primary practice located at 1326 Eisenhower Dr , Savannah GA 31406-3928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grant, Robert Wilson can be contacted via phone (912) 691-4100.

Contact Information

Primary practice address
1326 Eisenhower Dr Savannah GA 31406-3928
Phone: (912) 691-4100
Fax: (912) 691-4289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017189 Georgia

Profile Details

NPI number 1730188574
LBN Legal business name Grant, Robert Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 8th, 2007 - about 19 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 1730188574 NPPES
Georgia Other 681684 BLUECROSS BLUESHIELD
Georgia MEDICAID G17189 BLUECROSS BLUESHIELD

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