Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY E GRANDON, PA-C
ActiveMARY E GRANDON, PA-C is a Physician Assistant healthcare provider located in CLENDENIN, West Virginia. NPI 1790754638 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLENDENIN, WV
Registration Details
- NPI Number
- 1790754638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2006 (20.382071727264 yrs)
- Last Updated
- May 21, 2020
- License
-
00616 (WV)
Practice Information
- Address
-
107 KOONTZ AVE. STE. 200CLENDENIN, WV, 25045Browse WV providers · Browse ZIP 25045
- Phone
- 3045487272
- Fax
- 3045487149
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CLENDENIN, WV
| Name | Credential | NPI |
|---|---|---|
| MS. JENNIFER LYNN THAYER | PA-C | 1811249956 |
| CHELSEA AGNEW | PA | 1477936326 |
| TRENTON RYAN JOHNSON | — | 1831798321 |
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.