MEDICARE: HUGH JUDD GRANT JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	16368	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36765	OTHER		BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194729772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUGH JUDD GRANT JR. MD

Provider Business Mailing Address
First Line	:	4414 LAKE BOONE TRL
Second Line	:	STE 210
City	:	RALEIGH
State	:	NC
Zip	:	27607-7513
Country	:	US
Telephone Number	:	919-571-1040
Fax Number	:	919-781-0247

Provider Business Practice Location Address
First Line	:	4414 LAKE BOONE TRL
Second Line	:	STE 210
City	:	RALEIGH
State	:	NC
Zip	:	27607-7505
Country	:	US
Telephone Number	:	919-571-1040
Fax Number	:	919-781-0247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	11/05/2007

Similar Medicare Providers

1871450155 — LY NGOC THI NGUYEN PA
Practice Location Address:

4420 LAKE BOONE TRL
RALEIGH, NC
27607-7505

Practice Phone: 919-784-5380
Practice Fax: 919-784-5605

1114922580 — JAMES ARTHUR MONG MD
Practice Location Address:

4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505

Practice Phone: 919-571-1040
Practice Fax: 919-781-0247

1477558849 — ANDREA DECSI ROCHE MD
Practice Location Address:

4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505

Practice Phone: 919-571-1040
Practice Fax: 919-781-0247

1386649754 — JEAN WHITMORE CARTER MD
Practice Location Address:

4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505

Practice Phone: 919-571-1040
Practice Fax: 919-781-0247

1194720565 — ANN MICHELE MARTIN MD
Practice Location Address:

4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505

Practice Phone: 919-571-1040
Practice Fax: 919-781-0247

1376549956 — ALKA PRASAD M.D.
Practice Location Address:

4420 LAKE BOONE TRL
RALEIGH, NC
27607-7505

Practice Phone: 919-784-3100
Practice Fax:

Directions to “ HUGH JUDD GRANT JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.