Individual
DR. RICHARD GRINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 E CHEVES ST DEPT OF, FLORENCE, SC 29506-2617
(843) 777-2106
(843) 777-5109
Mailing address
555 E CHEVES ST DEPT OF, FLORENCE, SC 29506-2617
(843) 777-2106
(843) 777-5109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
298316
NY
2085R0204X
Vascular & Interventional Radiology Physician
298316
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
89702
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06007450
—
NY
Enumeration date
08/13/2009
Last updated
08/15/2023
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