Most Relevant Information
Provider Data
| NPI Number: | 1003506072 |
| Provider Name: | JOHN GRANT LITTLE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2023 |
| Last Updated: | 05/11/2023 |
Provider Practice Location
MEDICAL CENTER BLVD 5TH FLOOR WATLINGTON HALL
WINSTON SALEM
NC
271570001
Practice Location Phone/Fax
| Phone: | 3367164396 |
| Fax: |
Provider Mailing Location
ONE MEDICAL CENTER BLVD
WINSTON SALEM
NC
271570001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |