Grantham, James

Grantham, James is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grantham, James can be contacted via phone (353) 374-6064.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1135
Phone: (353) 374-6064
Fax: (352) 379-4044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 49460 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME49460 Florida

Profile Details

NPI number 1841262516
LBN Legal business name Grantham, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Sep 17th, 2013 - about 13 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 1841262516 NPPES
Florida MEDICAID 370260000

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