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Organization

GRANT R. MEISNER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRANT R. MEISNER M.D (MANAGER/MANAGING MEMBER)
(803) 765-1838
Entity
Organization

Contact information

Practice address
139 SUMMERPLACE DR., WEST COLUMBIA, SC 29169-3058
(803) 765-1838
(803) 765-1732
Mailing address
PO BOX 2564, COLUMBIA, SC 29202
(803) 765-1838
(803) 765-1732

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4137
SC
Enumeration date
01/26/2006
Last updated
04/28/2008
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