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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT THOMAS LAND, PA-C

Active

GRANT THOMAS LAND, PA-C is a Medical Physician Assistant healthcare provider located in CONYERS, Georgia. NPI 1508816570 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CONYERS, GA

Registration Details

NPI Number
1508816570
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2006 (20.25335526409 yrs)
Last Updated
May 23, 2024
Licenses
004108 (GA)
004108 (GA)

Practice Information

Address
1445 OLD MCDONOUGH HWY SE, SUITE E
CONYERS, GA, 300947788
Browse GA providers · Browse ZIP 30094
Phone
7709229222
Fax
7705046318
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in CONYERS, GA

Name Credential NPI
MRS. MARA B EHRET PA-C 1750497343
BHAVIN PATEL PA 1548335896
KATHARINE REGINA SIMMONS PHYSICIAN ASSISTANT 1972885192
MRS. KATIE LYN KURTZ PA-C 1124449723
ERICA JANEEN HABER PA-C 1235535865
MR. MICHAEL MARTIN JOHNSON PA-C 1336538974
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.