Individual
GRAYSON REILLY BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5170
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114909
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
05/23/2021
Last updated
01/16/2024
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