Provider Demographics
NPI:1750725800
Name:KOHER, GRANT (DO)
Entity type:Individual
Prefix:MR
First Name:GRANT
Middle Name:
Last Name:KOHER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1380 EASTCHESTER DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2658
Mailing Address - Country:US
Mailing Address - Phone:336-841-5899
Mailing Address - Fax:336-841-6099
Practice Address - Street 1:1380 EASTCHESTER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2658
Practice Address - Country:US
Practice Address - Phone:336-841-5899
Practice Address - Fax:336-841-6099
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
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Provider Licenses
StateLicense IDTaxonomies
NC35399207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery