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Individual

ZACHARY GRIGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 716-7750
(864) 716-7769
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 716-7750
(864) 716-7769

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
83142
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83142
MEDICAL LICENSE
SC
Enumeration date
03/17/2015
Last updated
06/30/2020
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