Wanda W Grainger, FNP
NPI #1073684577 in Loris, South Carolina
Provider Information
- NPI Number
- 1073684577
- Entity Type
- Individual
- Name
- Wanda W Grainger, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Feb 3, 2021
Practice Location
- Address
- 3109 CASEY ST
- Address 2
- SUITE A
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569-2807
- Phone
- (843) 756-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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