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Organization

KAIBERG, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC HANS GRUENBERGER MD (PHYSICIAN)
(443) 812-5989
Entity
Organization

Contact information

Practice address
232 BENT HOLLY DR, COLUMBIA, SC 29209
(443) 812-5989
Mailing address
9 MARSH CREEK DR, MAULDIN, SC 29662-3150
(646) 546-4359

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
207X00000X
Orthopaedic Surgery Physician
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
208600000X
Surgery Physician
Primary
363LA2100X
Acute Care Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
09/02/2025
Last updated
11/13/2025
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