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Contact Information

STEPHANIE GRANT
20 A L CORBETT CIRCLE
WAGENER, SC29164
 Phone: 803-564-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE GRANT · (Female)

NPI Number 1740602374
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2014
Last updated 01/16/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 97233
  • SC Medicaid 163WA200X
Hospital affiliation(s) Not Available
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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