Individual
DR. ROGER KEVIN GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203-9740
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186970
—
SC
Enumeration date
08/02/2006
Last updated
11/11/2024
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