Individual
JACQUELINE JOYCE PEEBLES GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27145
SC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
27145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271459
—
SC
Enumeration date
11/01/2006
Last updated
09/27/2022
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