Individual
MR. DONALD PATRICK GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
20191248P
Contact information
Practice address
909 FLOPPY DR, RICHBURG, SC 29729-9310
(803) 789-3448
(803) 789-3448
Mailing address
909 FLOPPY DR, RICHBURG, SC 29729-9310
(803) 789-3448
(803) 789-3448
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
20191248P
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R58815462
BLUE CROSS BLUE SHIELD
SC
Enumeration date
12/18/2020
Last updated
05/10/2021
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