JARED M GRANTHAM

HOUSTON COUNTY HEALTHCARE AUTHORITY

Dr JARED M GRANTHAM is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2012.

Contact

HOUSTON COUNTY HEALTHCARE AUTHORITY

1108 ROSS CLARK CIR
DOTHAN
AL
363013022

Tel: 3347938087

JARED M GRANTHAM Information

Npi 1134464506
Pac Id 5193979573
Professional Enrollment Id I20130212000484
Last Name GRANTHAM
First Name JARED
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HOUSTON COUNTY HEALTHCARE AUTHORITY
Group Practice Pac Id 9436062296
Number Of Group Practice Members 174
Line 1 Street Address 1108 ROSS CLARK CIR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DOTHAN
State AL
Zip Code 363013022
Phone Number 3347938087
Hospital Affiliation Ccn 1 010001
Hospital Affiliation Lbn 1 SOUTHEAST ALABAMA MEDICAL CENTER
Hospital Affiliation Ccn 2 101308
Hospital Affiliation Lbn 2 NORTHWEST FLORIDA COMMUNITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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