Individual
DR. MITCHELL ROBERT GRUNSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 E HOSPITAL ST STE 3, MANNING, SC 29102-3149
(843) 774-2478
Mailing address
50 E HOSPITAL ST STE 3, MANNING, SC 29102-3149
(843) 774-2478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25247
SC
207QS1201X
Sleep Medicine (Family Medicine) Physician
25247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252470
—
SC
01
—
P00142864
MEDICARE RR PIN
SC
Enumeration date
11/01/2006
Last updated
12/10/2025
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