Individual
DR. WILLIAM J GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 RUTLEDGE AVENUE, CHARLESTON, SC 29403
(843) 723-1614
(843) 727-2980
Mailing address
191 RUTLEDGE AVENUE, CHARLESTON, SC 29403
(843) 723-1614
(843) 727-2980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6926
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069268
—
SC
Enumeration date
05/11/2006
Last updated
11/05/2007
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