Search › South Carolina › 101YA0400X
Cody Gruber
NPI 1972272888 · on the registry since 2021
Practice
- Address
- 1439 Thunderbolt Drive
Walterboro, SC 29488 - Phone
- (843) 538-4343
- Organisation at this address
- Colleton Commission On Alcohol And Drug Abuse
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-14
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