Darian L Grantham, in Goldsboro, NC - Adult Companion

Darian L Grantham, is a Adult Companion based in Goldsboro, North Carolina. Darian L Grantham is licensed to practice in * (Not Available) (license number ) and his current practice location is 1223 Porter St, Goldsboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at (919) 734-1848.

NPI number for Darian L Grantham is 1568958858 and his current mailing address is 1223 Porter St, Goldsboro, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568958858.

Contact Information

	Darian L Grantham,
	1223 Porter St, Goldsboro, NC 27530-6713
	(919) 734-1848
	Not Available

Healthcare Provider's Profile

Full Name	Darian L Grantham
Gender	Male
Speciality	Adult Companion
Location	1223 Porter St, Goldsboro, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1568958858
Provider Enumeration Date: 07/10/2018
Last Update Date: 07/10/2018

Medical Identifiers

Medical identifiers for Darian L Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568958858	NPI	-	NPPES
47-3535658	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0700X	Psychologist - Adult Development & Aging	(* (Not Available))	Secondary
103TH0100X	Psychologist - Health Service	(* (Not Available))	Secondary
372600000X	Adult Companion	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darian L Grantham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Darian L Grantham, 1223 Porter St, Goldsboro, NC 27530-6713 Ph: (919) 734-1848	Darian L Grantham, 1223 Porter St, Goldsboro, NC 27530-6713 Ph: (919) 734-1848

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Darian L Grantham, - in Goldsboro, NC