Carlson, Grant
Carlson, Grant is an individual health care provider with primary practice located at 1327 Clifton Rd Ne , Atlanta GA 30322-1013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Carlson, Grant can be contacted via phone (404) 778-3307.Contact Information
Primary practice address
1327 Clifton Rd Ne
Atlanta GA 30322-1013
Phone: (404) 778-3307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 025122 | Georgia |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 025122 | Georgia |
Profile Details
| NPI number | 1689698649 |
|---|---|
| LBN Legal business name | Carlson, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 19th, 2019 - about 5 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 | 1689698649 | NPPES |
| Georgia | Other | 020020048 | RAILROAD MEDICARE |
| Georgia | Other | 497338 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000462866A | RAILROAD MEDICARE |
| Georgia | Other | 1241805 | RAILROAD MEDICARE |
| Georgia | Other | 515148 | RAILROAD MEDICARE |
| Georgia | Other | Y 19930601 | RAILROAD MEDICARE |
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