Individual
GRANT LEE CLUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
Mailing address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18997
SC
363LF0000X
Family Nurse Practitioner
Primary
18997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2882
—
SC
Enumeration date
06/02/2014
Last updated
03/02/2021
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