Individual
GRACE MCROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 COURTENAY DR, CHARLESTON, SC 29401
(843) 876-0178
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4668
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2021
Last updated
03/17/2023
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