Individual
CHARLENE M GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
242 MATHIS FERRY RD STE 100, MOUNT PLEASANT, SC 29464-2982
(843) 606-4990
(843) 856-9944
Mailing address
2861 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 606-4990
(843) 388-4195
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13968
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139683
—
SC
01
—
P01236580
RAILROAD MEDICARE
SC
Enumeration date
08/13/2006
Last updated
03/07/2022
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