Individual
CHRISTIN LAUREN P CUMMINS GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
920 DOUG WHITE DR STE 130, MYRTLE BEACH, SC 29572-4180
(843) 848-1440
(843) 839-1654
Mailing address
920 DOUG WHITE DR STE 130, MYRTLE BEACH, SC 29572-4180
(843) 848-1440
(843) 839-1654
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5374
SC
363AS0400X
Surgical Physician Assistant
PA11993
TX
Other
Enumeration date
05/10/2018
Last updated
02/01/2025
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