Moody, Grant Herron

Moody, Grant Herron is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Moody, Grant Herron can be contacted via phone (770) 224-1000.

Contact Information

Primary practice address
450 Northside Cherokee Blvd Canton GA 30115-8015
Phone: (770) 224-1000
Fax: (770) 224-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 38192 Alabama
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 95843 Georgia

Profile Details

NPI number 1235666298
LBN Legal business name Moody, Grant Herron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2017
Last updated Jul 12th, 2023 - about 3 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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