Jefferson Grant, LDO

NPI 1245960202 · on the registry since 2022 · sole proprietor

Practice

Address: 3925 Pelham Rd
Greenville, SC 29615
Phone: (864) 288-2813
Fax: (864) 288-2820
Organisation at this address: Wal-Mart Stores, Lp
Wal-Mart Stores East Lp
Sherry J. Gilmer, Od Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Optician
156FX1800X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-13

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