Individual
JAKE T GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 WESTEDGE ST APT 716, CHARLESTON, SC 29403-1002
(863) 370-3896
Mailing address
99 WESTEDGE ST APT 716, CHARLESTON, SC 29403-1002
(863) 370-3896
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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