Individual
KAITLYN MARGARET GRONAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PRISMA HEALTH MEDICAL GROUP GENERAL PSYCHIATRY, 15 MEDICAL PARK, SUITE 141, COLUMBIA, SC 29203
(803) 434-4300
(803) 434-4062
Mailing address
PRISMA HEALTH MEDICAL GROUP GENERAL PSYCHIATRY, 15 MEDICAL PARK, SUITE 141, COLUMBIA, SC 29203
(803) 434-4300
(803) 434-4062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL86155
SC
Other
Enumeration date
05/20/2021
Last updated
08/02/2021
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