Individual
DR. RICHARD GRANT JOSLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 21ST AVE N, MYRTLE BEACH, SC 29577-7401
(843) 626-9379
Mailing address
601 OTTERCREEK, CAROLINA BEACH, NC 28428-4045
(910) 458-0371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20328
SC
207Q00000X
Family Medicine Physician
21665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47509
BLUE CROSS
NC
01
—
A3700
MEDCOST
NC
Enumeration date
08/20/2006
Last updated
07/08/2007
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