Provider Demographics
NPI:1821238528
Name:MUMFORD, JAMES GRANT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GRANT
Last Name:MUMFORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5100 COMMERCE CROSSINGS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2128
Mailing Address - Country:US
Mailing Address - Phone:502-585-7313
Mailing Address - Fax:502-585-7998
Practice Address - Street 1:5100 COMMERCE CROSSINGS DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-2128
Practice Address - Country:US
Practice Address - Phone:502-585-7313
Practice Address - Fax:502-585-7998
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2012-05-04
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Provider Licenses
StateLicense IDTaxonomies
KY31074208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics