Individual
LESLIE GRAINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8800
Mailing address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221975
SC
163WC1500X
Community Health Registered Nurse
Primary
221975
SC
251J00000X
Nursing Care Agency
221975
SC
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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