Grant, Jacqueline H

Grant, Jacqueline H is an sole proprietor health care provider with primary practice located at 2000 10Th Ave Ste 100 , Columbus GA 31901-3703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Grant, Jacqueline H can be contacted via phone (706) 571-1285.

Contact Information

Primary practice address
2000 10Th Ave Ste 100 Columbus GA 31901-3703
Phone: (706) 571-1285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2015-00684 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 032570 Georgia

Profile Details

NPI number 1124189600
LBN Legal business name Grant, Jacqueline H
Credentials MD, MPH, MPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124189600 NPPES
Georgia MEDICAID 695415663A

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