Gary Grant, is a
Physical Therapist based in Fayette, Mississippi. Gary Grant is licensed to practice in Mississippi (license number 0750) and his current practice location is
870 Main St, Fayette, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 786-3401.
NPI number for Gary Grant is 1295468239 and his current mailing address is 1870 Porters Chapel Rd, Vicksburg, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295468239.
Healthcare Provider's Profile
| Full Name | Gary Grant |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 870 Main St, Fayette, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295468239
- Provider Enumeration Date: 07/07/2022
- Last Update Date: 07/07/2022
Medical Identifiers
Medical identifiers for Gary Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295468239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 0750 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gary Grant,
1870 Porters Chapel Rd,
Vicksburg, MS 39180-5797
Ph: (601) 529-6750 | Gary Grant,
870 Main St,
Fayette, MS 39069-5695
Ph: (601) 786-3401 |
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