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Colonel Grant
NPI 1306715230 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2173 Eden Ter Apt 310
Rock Hill, SC 29730 - Phone
- (704) 701-4024
- Fax
- (704) 701-4024
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-30
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