Individual
MRS. SHANIKA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDF
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Mailing address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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