Grinman, Mark

Grinman, Mark is an individual health care provider with primary practice located at 920 Doug White Dr Ste 460 , Myrtle Beach SC 29572-4182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Grinman, Mark can be contacted via phone (843) 449-2336.

Contact Information

Primary practice address
920 Doug White Dr Ste 460 Myrtle Beach SC 29572-4182
Fax: (843) 692-2174
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20455 South Carolina

Profile Details

NPI number 1164489829
LBN Legal business name Grinman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 28th, 2022 - about 2 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 1164489829 NPPES
South Carolina MEDICAID 020455800

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