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George Grant, IDC — NPI 1235469644, Groton, CT | NPI Central

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George Grant, IDC

NPI 1235469644 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1235469644
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

195 Michelle Ln

Apt 304

Groton, CT 06340-4278

Phone: (360) 396-6789

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

195 Michelle Ln

Groton, CT 06340-4278

Registry dates

Enumerated: 2010-01-06
Last updated: 2010-01-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.