Individual
COLBY H GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 OAKBROOK LN, SUITE 255, SUMMERVILLE, SC 29485-8215
(843) 695-8464
(843) 695-8424
Mailing address
201 OAKBROOK LN STE 255, SUMMERVILLE, SC 29485-7538
(843) 695-8464
(843) 695-8424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12448
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649422296
NPI SITE ID#
SC
Enumeration date
12/14/2005
Last updated
06/20/2024
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