Grady, Walter

Grady, Walter is an individual health care provider with primary practice located at 480 Floyd Rd , Spartanburg SC 29307-1518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Grady, Walter can be contacted via phone (864) 582-2115.

Contact Information

Primary practice address
480 Floyd Rd Spartanburg SC 29307-1518
Phone: (864) 582-2115
Fax: (864) 582-2117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 504 South Carolina

Profile Details

NPI number 1225036551
LBN Legal business name Grady, Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jan 12th, 2021 - about 3 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 1225036551 NPPES
South Carolina MEDICAID 005041
South Carolina Other P01045397

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