Individual
PEYTON VACALA GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
339 RAILROAD AVE UNIT 429, NORTH AUGUSTA, SC 29841-3996
(912) 432-0541
Mailing address
339 RAILROAD AVE UNIT 429, NORTH AUGUSTA, SC 29841-3996
(912) 432-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1190005
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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