Individual
WILLIAM JOSEPH GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01045591
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01045591A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
40340
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01045591A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120270
—
IN
Enumeration date
04/17/2006
Last updated
02/10/2017
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