Larry Douglas Grubb MD

NPI 1013947589 - Radiology - 2085R0001X

NPI Details
NPI 1013947589
Gender Male
Enumeration Date 07/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
FLORENCE SC, 29505-0550, US
Phone (843) 674-2470
Fax (843) 674-2479
Business Location
PO BOX 6466
FLORENCE SC, 29502-6466, US
Phone (843) 777-2015
Fax (843) 777-2019
Taxonomy Code 2085R0001X
License State South Carolina
License Number 15990
Remove 1013947589 NPI Number

According to our database, Dr. Larry Douglas Grubb MD NPI is 1013947589, taxonomy code is 2085R0001X and license number is 15990, license state is located at South Carolina. Larry Douglas Grubb MD physically located at 805 Pamplico Hwy, Florence SC, 29505-0550. NPI Number Larry Douglas Grubb MD has the Individual type.

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1013947589 NPI number is provided on an as is basis without warranty of any kind. 1013947589 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Douglas Grubb MD are for informational purposes only.