Individual
DR. MARK GRINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 692-2174
Mailing address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 692-2174
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020455800
—
SC
Enumeration date
04/27/2006
Last updated
01/28/2022
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