Individual
MR. KOREY RICHARD GRAETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
100 HEALTHY WAY STE 1120, ANDERSON, SC 29621-7915
(864) 512-4530
(864) 512-4540
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-4530
(864) 512-4540
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
CT
363LF0000X
Family Nurse Practitioner
Primary
24327
SC
Other
Enumeration date
03/26/2009
Last updated
12/20/2021
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