Grady, Holly Bryan

Grady, Holly Bryan is an individual health care provider with primary practice located at 151 Berea Middle School Rd , Greenville SC 29617-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grady, Holly Bryan can be contacted via phone (864) 454-2341.

Contact Information

Primary practice address
151 Berea Middle School Rd Greenville SC 29617-1220
Phone: (864) 454-2341
Fax: (864) 454-1114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 19474 South Carolina

Profile Details

NPI number 1770891137
LBN Legal business name Grady, Holly Bryan
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2010
Last updated Jan 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770891137 NPPES
South Carolina MEDICAID NP3306

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