DORRETTE P GRANT


Address: 2573 Ravenhill Dr, Fayetteville, NC 28303-5451
Phone: 9104887548

DORRETTE P GRANT (NPI# 1154345346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154345346
Entity Type Individual
Full Name DORRETTE P GRANT
Credential MD
Practice Address 2573 Ravenhill Dr
Fayetteville
NC 28303-5451
Mailing Address Po Box 1689
Etowah
NC 28729-1689
Practice Telephone 9104887548
Practice Fax Number 8663768277
Mailing Telephone 9104887548
Mailing Fax Number 8663768277
Enumeration Date 2006-07-27
Last Update Date 2017-01-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 2000D0063 NC Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 036111115 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5909310 05

Office Location

Street Address 2573 RAVENHILL DR
City FAYETTEVILLE
State NC
Zip Code 28303-5451

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477784080 Womens Health Haven Obstetrics and Gynecology Obstetrics & Gynecology 2573 Ravenhill Dr, Fayetteville, NC 28303-5451 2009-07-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
Find all providers in zip 28303

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811398852 Fayetteville Woman's Care Obstetrics & Gynecology 2029 Valley Gate Drive, Suite 101, Fayetteville, NC 28304-3772 2014-09-09
1194126250 A Woman Place In Fayetteville LLC Obstetrics & Gynecology 2053 Valley Gate Drive, Suite 201, Fayetteville, NC 28304-3983 2014-09-09
1336568153 Melvin Henderson Obstetrics & Gynecology 413 Owen Dr Ste 101, Fayetteville, NC 28304-3490 2014-04-09
1932464617 Nicole E Quinn Obstetrics & Gynecology 1267 Highway 54 W Ste 3200, Fayetteville, GA 30214-2111 2012-07-10
1093945115 Lydia B Apollo Obstetrics & Gynecology 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304-3983 2009-07-23
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1780889766 Amy L Scott Obstetrics & Gynecology 3215 N Northhills Blvd Ste B, Fayetteville, AR 72703-4424 2007-06-19
1790844256 Christine Dennett Booth Obstetrics & Gynecology 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 2006-12-08
1316033368 Camille Jamil Wehbe Obstetrics & Gynecology 3609 Cape Center Dr, Fayetteville, NC 28304-4457 2006-10-05
1184654394 Matthew M Ralsten Obstetrics & Gynecology 1267 Highway 54 West, Suite 3200, Fayetteville, GA 30214 2006-07-04
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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