Individual
DR. JOHN P GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1105 48TH AVE N STE 106, MYRTLE BEACH, SC 29577-5419
(843) 497-5197
Mailing address
1105 48TH AVE N, STE 106, MYRTLE BEACH, SC 29577-5419
(843) 497-5197
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2736
—
SC
Enumeration date
11/07/2006
Last updated
05/24/2019
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