Individual
DR. BONNIE SIMON GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203
(803) 434-6771
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(843) 679-4217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33846
SC
208M00000X
Hospitalist Physician
Primary
33846
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338469
—
SC
Enumeration date
06/28/2011
Last updated
03/05/2024
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