Individual
DEANA GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1682
Mailing address
1286 CHART RIDGE DR, MOUNT PLEASANT, SC 29466-6700
(843) 216-3389
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1941
SC
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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