IndividualActive
Andre Grant, MD
NPI 1881740405 · Sports Medicine (Orthopaedic Surgery) Physician · Raleigh, NC
Provider details
- NPI number
- 1881740405
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- TL-1893 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
3480 Wake Forest Road
Suite 204
Raleigh, NC 27609
Phone: (919) 862-5091
Fax: (919) 862-5605
Approximate (ZIP-level) locationGet directions
Mailing address
3480 Wake Forest Road
Raleigh, NC 27609
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2015-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.