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
Fax: (843) 881-7068
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770530743 NPPES
Other 180005021 RAILROAD MEDICARE
MEDICAID 3030 RAILROAD MEDICARE

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