Individual
SAMUEL J GROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD FL 3, GREENVILLE, SC 29605-4210
(864) 455-1435
Mailing address
701 GROVE RD FL 3, GREENVILLE, SC 29605-4210
(864) 455-1435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL52655
SC
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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