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1871572800

NPI Code Detail

MEDICARE: DR. GRANT E EUDY MD

MEDICARE: DR. GRANT E EUDY 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	207ZD0900X	Dermatopathology (Pathology) Physician	MD.28841	AL
2	207ZD0900X	Dermatopathology (Pathology) Physician	27915	SC
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	27915	SC
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD.28841	AL

Other Identifiers

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

General Provider Information

NPI Number	:	1871572800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRANT E EUDY MD

Provider Business Mailing Address
First Line	:	1010 AIRPARK CENTER DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-5200
Country	:	US
Telephone Number	:	615-221-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3512 OLD MONTGOMERY HWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5706
Country	:	US
Telephone Number	:	205-879-2260
Fax Number	:	205-879-2261

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	06/09/2021

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Directions to “ DR. GRANT E EUDY 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.

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