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Individual

GRANT WOODFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
(864) 725-4883
Mailing address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
(864) 725-4883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40779
SC

Other

Enumeration date
05/11/2017
Last updated
05/22/2019
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