Grant, Robert Wilson
Grant, Robert Wilson is an individual health care provider with primary practice located at 1326 Eisenhower Dr , Savannah GA 31406-3928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grant, Robert Wilson can be contacted via phone (912) 691-4100.Contact Information
Primary practice address
1326 Eisenhower Dr
Savannah GA 31406-3928
Phone: (912) 691-4100
Fax: (912) 691-4289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 017189 | Georgia |
Profile Details
| NPI number | 1730188574 |
|---|---|
| LBN Legal business name | Grant, Robert Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Oct 8th, 2007 - about 17 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 | 1730188574 | NPPES |
| Georgia | Other | 681684 | BLUECROSS BLUESHIELD |
| Georgia | MEDICAID | G17189 | BLUECROSS BLUESHIELD |
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