Gross Family Practice LLC
NPI #1083961114 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1083961114
- Entity Type
- Organization
- Organization Name
- Gross Family Practice LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Aug 8, 2012
- Last Updated
- Sep 21, 2012
Practice Location
- Address
- 970 HOLLY ST
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-4930
- Phone
- (803) 531-2722
Authorized Official
- Name
- VERDELL F HAYGOOD
- Title
- OFFICE MANAGER
- Phone
- (803) 531-2722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Rural Health — Rural Health |
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