Individual
MRS. ALICIA POLLARD GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,ANP-BC
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 557-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 557-5011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17522
SC
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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