Grant, Terry Alan

Grant, Terry Alan is an individual health care provider with primary practice located at 2604 Medical Office Pl , Goldsboro NC 27534-9417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Grant, Terry Alan can be contacted via phone (919) 580-0004.

Contact Information

Primary practice address
2604 Medical Office Pl Goldsboro NC 27534-9417
Fax: (919) 580-9099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39603 North Carolina

Profile Details

NPI number 1598761892
LBN Legal business name Grant, Terry Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 5th, 2024 - about 2 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 1598761892 NPPES
Other 36802 BLUE CROSS BLUE SHIELD
MEDICAID 8936802 BLUE CROSS BLUE SHIELD

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