GRANT LAND, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1508816570
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | 004108 (GA) |
| Physician Assistant - Medical | 363AM0700X | Yes | 004108 (GA) |
Frequently Asked Questions
NPI 1508816570 is the National Provider Identifier for GRANT LAND, PA-C, a Physician Assistant - Medical provider located in Conyers, GA. This NPI was enumerated on May 11, 2006.
GRANT LAND, PA-C practices at 1445 OLD MCDONOUGH HWY SE, SUITE E, Conyers, GA 30094.
Quick Facts
- NPI
- 1508816570
- Type
- Individual
- Enumerated
- May 11, 2006
- Last Updated
- May 23, 2024
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