Individual
CRISTIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
650 ELLIS OAK DR, CHARLESTON, SC 29412-3089
(843) 792-3451
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL94568
SC
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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