Provider Demographics
NPI:1548201759
Name:GRANT, JOY C (CNM)
Entity type:Individual
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First Name:JOY
Middle Name:C
Last Name:GRANT
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:6285 BARFIELD RD NE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4303
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:11975 MORRIS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4419
Practice Address - Country:US
Practice Address - Phone:770-521-2295
Practice Address - Fax:770-255-0333
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL1-089056367A00000X
GARN087932176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Not Answered176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51095604OtherBCBS