Bruce Nicholas Grant (NPI# 1255517884, PAC ID# 3375719552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1255517884 |
| PAC ID by PECOS | 3375719552 |
| Professional Enrollment ID | I20160422002189 |
| Full Name | Bruce Nicholas Grant |
| Organization Legal Name | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
| Address |
420 Thomaston St Zebulon GA 30295-3387 |
| Phone Number | 4049601282 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 5092014175 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 420 Thomaston St, Zebulon, GA 30295-3387 | 4049601282 | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
| Organization Legal Name | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liberty Ann Mcclead | Clinical Social Worker | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
| Danielle Justine Guild | Psychologist, Clinical | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
| Wayne Chan | Clinical Psychologist | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
| Street Address |
420 THOMASTON ST |
| City | ZEBULON |
| State | GA |
| Zip | 30295-3387 |
| City | ZEBULON |
| Zip Code | 30295 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ZEBULON + PSYCHOLOGIST, CLINICAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.