Vincent L Grant
Surgeon Vascular Surgeon
57 Dewey St
Lucedale
, Mississippi 39452-5707
Vincent L Grant
Surgeon Vascular Surgeon
57 Dewey St
Lucedale
, Mississippi 39452-5707
(601) 766-0309
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Vincent L Grant
- Po Box 1007
- Lucedale, MS
- Zip : 39452-1007
- Fax : (601) 766-0309
- Phone : (601) 766-0308
Second Address
- Vincent L Grant
- 57 Dewey St
- Lucedale, MS
- Zip : 39452-5707
- Fax : (601) 766-0309
- Phone : (601) 766-0308
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FAQs
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What type of doctor is Vincent L Grant
In what state does Vincent L Grant practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 16759 | MS |
| Y | 208600000X | Surgeon | 16759 | MS |
| N | 2086S0129X | Vascular Surgeon | ME48804 | FL |
National Provider Identifier
| NPI | 1073597092 |
|---|---|
| Provider Name | Vincent L Grant |
| First Address | Lucedale, MS 39452-1007 |
| Second Address | Lucedale, MS 39452-5707 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 27/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00122104 | (05) | MS |
| D20809 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.