| Grant Family Medicine, Llc | |
|
4500 Main St Grant AL 35747-8303 | |
| (256) 728-8600 | |
| (256) 728-8602 |
| Full Name | Grant Family Medicine, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4500 Main St, Grant, Alabama |
| Authorized Official Name and Position | Hilda Bernice Craze (OWNER) |
| Authorized Official Contact | 2567288600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Family Medicine, Llc 4500 Main St Grant AL 35747-8303 Ph: (256) 728-8600 | Grant Family Medicine, Llc 4500 Main St Grant AL 35747-8303 Ph: (256) 728-8600 |
| NPI Number | 1316948649 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316948649 | NPI | - | NPPES |
| 404999 | Other | AL | AETNA |
| 51000192 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12795 (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 Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 2nd Ave, Grant, AL 35747 Phone: 256-728-4219 Fax: 256-728-7793 | |
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 |