Healthcare Provider Details

I. General information

NPI: 1780733378
Provider Name (Legal Business Name): DUNCAN M GRANT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 MEETING ST
WEST COLUMBIA SC
29169-7535
US

IV. Provider business mailing address

6021 142ND AVE N
CLEARWATER FL
33760-2822
US

V. Phone/Fax

Practice location:
  • Phone: 727-796-6900
  • Fax: 727-669-8417
Mailing address:
  • Phone: 727-796-6900
  • Fax: 727-669-8417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36002229
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36.002229
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: