Individual
DR. MERRITT HEADDEN GROSSNICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(843) 330-9824
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
88204
SC
Other
Enumeration date
06/14/2022
Last updated
07/12/2023
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