Grantham, David Wayne
Grantham, David Wayne is an individual health care provider with primary practice located at 5 First Village Drive , Pinehurst NC 28374-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grantham, David Wayne can be contacted via phone (910) 295-6831.Contact Information
Primary practice address
5 First Village Drive
Pinehurst NC 28374-2000
Phone: (910) 295-6831
Fax: (910) 295-0244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2007-01020 | North Carolina |
Profile Details
| NPI number | 1689871683 |
|---|---|
| LBN Legal business name | Grantham, David Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Sep 10th, 2018 - about 7 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 | 1689871683 | NPPES |
| South Carolina | MEDICAID | Q20007 | |
| South Carolina | MEDICAID | 1689871683 | |
| South Carolina | MEDICAID | 3810009398 | |
| South Carolina | Other | 145NY | |
| South Carolina | Other | 199308 | |
| South Carolina | MEDICAID | 5907193 | |
| South Carolina | Other | 810125 | |
| South Carolina | Other | 7263977 |
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