Robert Nakura Buki Grant

Individual provider Active NPI Counselor · China Grove, NC

NPI 1740583178 · NPPES record last updated Dec 7, 2010

Key facts

NPI
1740583178
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1013 N. Main St.
China Grove, NC 28023-2223
Phone
(704) 939-1100
NPI assigned
Dec 7, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1013 N. Main St.
China Grove, NC 28023-2223

Mailing address

284 Executive Park Dr.
Suite 100
Concord, NC 28025-1894
Phone (704) 939-1118

Other providers in China Grove, NC

All providers in China Grove, NC · Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.