Shy, David Grant
Shy, David Grant is an individual health care provider with primary practice located at 1430 S Cashua Dr , Florence SC 29501-6323. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Shy, David Grant can be contacted via phone (843) 665-9349.Contact Information
Primary practice address
1430 S Cashua Dr
Florence SC 29501-6323
Phone: (843) 665-9349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1209 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 81722 | South Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 81722 | South Carolina |
Profile Details
| NPI number | 1326146978 |
|---|---|
| LBN Legal business name | Shy, David Grant |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 2nd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326146978 | NPPES |
| Other | P00133304 | RAILROAD MEDICARE | |
| MEDICAID | 0042380000 | RAILROAD MEDICARE | |
| Other | 000747547 | RAILROAD MEDICARE | |
| MEDICAID | 0915584 | RAILROAD MEDICARE |
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