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Contact Information

ROBERT L DE GROOD, MD
119 W LOWMAN ST
MULLINS, SC29574-3107
 Phone: 843-464-4000
 Fax: 843-464-4017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ROBERT L DE GROOD · (Male)

NPI # 1841248085
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 10/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 17113
  • SC Medicaid GP 5462
  • SC Medicaid GP1384
  • SC Other AA89359493 MEDICARE
  • SC Other GP 9493 MEDICARE GROUP
Hospital affiliation(s)
  • MARION REGIONAL HOSPITAL - (Acute Care)
    2829 E HWY 76
    MULLINS, SC 29574
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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