Jerry H Grant is a Family Medicine in El Dorado, Arkansas. Jerry H Grant practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry H Grant is 1396714424. The last update date is 2019-08-21.
Jerry H Grant's current location address is 104 East Grove, El Dorado, Arkansas. You can contact this provider via phone number 8708622285 and fax number 8708622289. The mailing address for Jerry H Grant is 104 East Grove, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry H Grant |
|---|---|
| Address | 104 East Grove, El Dorado, Arkansas |
| Phone Number | 8708622285 |
| Fax Number | 8708622289 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396714424 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2019-08-21 |
Provider Mailing Address Detail
| Address | 104 East Grove |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 717303929 |
| Phone Number | 8708622285 |
| Fax Number | 8708622289 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | EO952 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80128979 | AR | RAILROAD MEDICARE | |
| 130237001 | AR | -- |
Post Comment/ Review Below
What is the Jerry H Grant's unique identification number?
The Jerry H Grant has been assigned the NPI (National Provider Identifier) Number 1396714424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jerry H Grant's facilities are geographically located?
The facilities of Jerry H Grant are physically situated at the following location: 104 East Grove, El Dorado, AR, 717303929.
What is the Jerry H Grant's specialty and taxonomy code?
The Jerry H Grant's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Jerry H Grant receive its 1396714424 assignment?
The Jerry H Grant was assigned its 1396714424 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jerry H Grant, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry H Grant, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-08-21.