| Grant Clinic | |
|
91 2nd Ave Grant AL 35747 | |
| (256) 728-4219 | |
| (256) 728-7793 |
| Full Name | Grant Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 91 2nd Ave, Grant, Alabama |
| Authorized Official Name and Position | Olympia Tucker (OFFICE MANAGER) |
| Authorized Official Contact | 2567284219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Clinic Po Box 429 Grant AL 35747-0429 Ph: (256) 728-4219 | Grant Clinic 91 2nd Ave Grant AL 35747 Ph: (256) 728-4219 |
| NPI Number | 1669504585 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669504585 | NPI | - | NPPES |
| 529600280 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3517 (Alabama) | Primary |
Marshall Medical Center North Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 Main St, Grant, AL 35747 Phone: 256-728-8600 | |
Grant Wellness Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4630 Main St, Grant, AL 35747 Phone: 256-728-7620 | |
Grant Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Main St, Grant, AL 35747 Phone: 256-728-8600 Fax: 256-728-8602 | |
Vivian Nell Hannon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5447 Main Street, Grant, AL 35747 Phone: 256-728-2272 Fax: 256-728-2282 |