Mary E Grandon in Dawes - Physician Assistant
Mary E Grandon - NPI 1790754638
Mary E Grandon is a Physician Assistant in Dawes, . Mary E Grandon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary E Grandon is 1790754638. The last update date is 2020-05-21.
Mary E Grandon's current location address is Po Box 70, Dawes, . You can contact this provider via phone number 3047342040 and fax number 3047342047. The mailing address for Mary E Grandon is Po Box 70, Dawes, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Grandon |
|---|---|
| Address | Po Box 70, Dawes, |
| Phone Number | 3047342040 |
| Fax Number | 3047342047 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790754638 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2020-05-21 |
Provider Mailing Address Detail
| Address | Po Box 70 |
|---|---|
| City | Dawes |
| State | (WV) |
| Post Code | 25054 |
| Phone Number | 3047342040 |
| Fax Number | 3047342047 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 616 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Mary E Grandon's unique identification number?
The Mary E Grandon has been assigned the NPI (National Provider Identifier) Number 1790754638 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mary E Grandon is physically located?
The Mary E Grandon is situated at the following address: Po Box 70, Dawes, WV 25054.
What is Mary E Grandon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary E Grandon's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Mary E Grandon receive its 1790754638 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Grandon was assigned its 1790754638 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary E Grandon most recently updated or revised?
The details related to Mary E Grandon, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-21.