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Organization
GRANT R. MEISNER, LLC
Active
Organization
GRANT R. MEISNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT R. MEISNER M.D (MANAGER/MANAGING MEMBER)
(803) 765-1838
Entity
Organization
Contact information
Practice address
139 SUMMERPLACE DR., WEST COLUMBIA, SC 29169-3058
(803) 765-1838
(803) 765-1732
Mailing address
PO BOX 2564, COLUMBIA, SC 29202
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4137
—
SC
Enumeration date
01/26/2006
Last updated
04/28/2008
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