Individual
JOCHEN A GRANJA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-6834
(803) 434-6095
(803) 758-0120
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
92600
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2016
Last updated
10/08/2024
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