Individual
PAMELA DENISE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-3422
(843) 332-3985
Mailing address
101 PARK LN, CHESTERFIELD, SC 29709-8406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23887
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN0329
—
SC
Enumeration date
04/09/2014
Last updated
12/30/2024
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