Grant, Alyssa
Grant, Alyssa is an sole proprietor health care provider with primary practice located at 3150 Plateau Dr Lot 303 , Columbus GA 31903-5400. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as her primary health care specialty. Grant, Alyssa can be contacted via phone (706) 322-3773.Contact Information
Primary practice address
3150 Plateau Dr Lot 303
Columbus GA 31903-5400
Phone: (706) 322-3773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1174235493 |
|---|---|
| LBN Legal business name | Grant, Alyssa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2022 |
| Last updated | Dec 19th, 2022 - 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 | 1174235493 | NPPES |
| Georgia | MEDICAID | 26-4503737 |
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