Grinnell, Melissa Ruth

Grinnell, Melissa Ruth is an individual health care provider with primary practice located at 890 W Faris Rd Ste 310 , Greenville SC 29605-4281. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grinnell, Melissa Ruth can be contacted via phone (864) 455-8300.

Contact Information

Primary practice address
890 W Faris Rd Ste 310 Greenville SC 29605-4281
Phone: (864) 455-8300
Fax: (864) 455-8310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1848 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1848 South Carolina

Profile Details

NPI number 1427300847
LBN Legal business name Grinnell, Melissa Ruth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Jun 30th, 2021 - about 4 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 1427300847 NPPES
South Carolina MEDICAID 1535PA

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