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
Phone: (919) 580-0004
Fax: (919) 580-9099
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598761892 | NPPES |
| Other | 36802 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 8936802 | BLUE CROSS BLUE SHIELD |
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