Grant, Andre

Grant, Andre is an individual health care provider with primary practice located at 3480 Wake Forest Road Suite 204, Raleigh NC 27609. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Grant, Andre can be contacted via phone (919) 862-5091.

Contact Information

Primary practice address
3480 Wake Forest Road Suite 204 Raleigh NC 27609
Phone: (919) 862-5091
Fax: (919) 862-5605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL-1893 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2009-01113 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2009-01113 North Carolina

Profile Details

NPI number 1881740405
LBN Legal business name Grant, Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 13th, 2015 - about 10 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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