Mary E Grandon, PA-C
Mary E Grandon, PA-C is a Physician Assistant in Clendenin, West Virginia. Qualified in 1992, 34 years ago. Practices with Cabin Creek Health Center Inc, a 45-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 34
- Licensed in
- WV
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
107 Koontz Ave Ste 200Clendenin, WV 25045
Phone: (304) 548-7272
Fax: (304) 548-7149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 00616 (WV) |
|---|
Record details
| NPI number | 1790754638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 14, 2006 |
| Last updated in NPPES | May 21, 2020 |
| Certification date | May 21, 2020 |
| Mailing address | Po Box 70, Dawes, WV 25054 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Group practice | Cabin Creek Health Center Inc — 45 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Clendenin
-
Chelsea Agnew, PA
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 · (304) 548-7272
-
Trenton Ryan Johnson
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 · (304) 548-7272
-
MS. Jennifer Lynn Thayer, PA-C
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 · (304) 548-7272