Individual
MRS. GRACE DANIEL DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1190 W FARIS RD, GREENVILLE, SC 29605-4446
(864) 522-1880
Mailing address
1190 W FARIS RD, GREENVILLE, SC 29605-4446
(864) 522-1880
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
52578
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
IP1339
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
11/09/2021
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