Individual
DR. EDWARD THOMAS GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8015
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39862
SC
Other
Enumeration date
04/10/2013
Last updated
01/16/2020
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