MS. Suzette M Grant, INDIVIDUAL
MS. Suzette M Grant, INDIVIDUAL is a Preferred Provider Organization in Columbia Falls, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2007
Practice location Address checks out
860 Tibbettstown RdColumbia Falls, ME 04623-5021
Phone: (207) 483-2883
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 3002032 (ME) |
|---|
Record details
| NPI number | 1306982780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | INDIVIDUAL |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | July 8, 2007 |