SearchSouth Carolina390200000X

Charles Grant

NPI 1023820826 · on the registry since 2025

Practice

Address
4300 Brabham Dr
Dalzell, SC 29040
Phone
(803) 840-3756

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina