| Doctor Name: | MRS. ANN COLLINS GRANT |
| NPI Number: | 1144488578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSRDLD |
| License Number: | 711400 |
| Business Practice Address: | 310 S Rhodes St West Memphis, AR - 723014215 |
| Business Phone Number: | 8707355445 |
| Business Fax Number: | |
| Mailing Address: | 804 Walnut Dr, WEST MEMPHIS |
| State: | AR |
| Postal Code: | 723016121 |
| Phone Number: | 9015983271 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 711400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |