Grantham, Richard L.
Grantham, Richard L. is an individual health care provider with primary practice located at 139 Waterloo St Sw , Aiken SC 29801-3756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grantham, Richard L. can be contacted via phone (803) 642-1000.Contact Information
Primary practice address
139 Waterloo St Sw
Aiken SC 29801-3756
Phone: (803) 642-1000
Fax: (803) 642-0036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 16513 | South Carolina |
Profile Details
| NPI number | 1366527079 |
|---|---|
| LBN Legal business name | Grantham, Richard L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Apr 11th, 2008 - about 17 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 | 1366527079 | NPPES |
| South Carolina | MEDICAID | GP1593 |
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