NPI 1245484427
Grant Nh LLC
Practice location
- Address
- 814 Northwood Park Dr, Valdosta, GA 31602-1398
- Phone
- (229) 259-0032
Authorised official
- Name
- Douglas Moss
- Title
- Member
- Phone
- (229) 259-0032
Registered specialties
Internal Medicine Physician
Primary
Registry record
- NPI
- 1245484427
- Entity type
- Organization
- NPI issued
- 14 Nov 2008
- Record last updated
- 5 Jan 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.