Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2384 | OH |
NPI | 1326107392 |
---|---|
Provider Name | Dr. Heather P Grant |
First Address | Columbus, OH 43212-1941 |
Second Address | Columbus, OH 43212-1941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 27/07/2016 |