Grove, Randall Paul

Grove, Randall Paul is an individual health care provider with primary practice located at 1101 Johnson Ave , Myrtle Beach SC 29577-1893. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Grove, Randall Paul can be contacted via phone (843) 477-0177.

Contact Information

Primary practice address
1101 Johnson Ave Myrtle Beach SC 29577-1893
Phone: (843) 477-0177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA001516L Pennsylvania

Profile Details

NPI number 1619969250
LBN Legal business name Grove, Randall Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Oct 19th, 2017 - about 8 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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