Individual
DR. JAMES MURIEL GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 CROSS ANCHOR RD, WOODRUFF, SC 29388-2328
(864) 278-6031
(864) 560-5195
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17344
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173449
—
SC
01
—
5892646
AETNA
SC
Enumeration date
01/30/2006
Last updated
01/12/2021
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