Individual
WILLIAM CLARK GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
238 EAST MAIN STREET, LAKE CITY, SC 29560
(843) 374-7020
(843) 374-7021
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12552
SC
207Q00000X
Family Medicine Physician
12552
SC
208D00000X
General Practice Physician
Primary
12552
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460067319718
—
SC
Enumeration date
07/13/2006
Last updated
03/20/2023
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