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Carissa Grande
NPI 1437543030 · on the registry since 2015
Practice
- Address
- 1873 N Paris Ave
Port Royal, SC 29935 - Phone
- (843) 815-6999
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-23
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