Grady, John L
Grady, John L is an individual health care provider with primary practice located at 1705 Beaucastel Rd , Mt Pleasant SC 29464-3657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grady, John L can be contacted via phone (843) 884-2015.Contact Information
Primary practice address
1705 Beaucastel Rd
Mt Pleasant SC 29464-3657
Phone: (843) 884-2015
Fax: (843) 881-7068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 12617 | South Carolina |
Profile Details
NPI number | 1770530743 |
---|---|
LBN Legal business name | Grady, John L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Jun 30th, 2016 - about 9 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770530743 | NPPES |
Other | 180005021 | RAILROAD MEDICARE | |
MEDICAID | 3030 | RAILROAD MEDICARE |
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