De Grood, Robert Louis

De Grood, Robert Louis is an individual health care provider with primary practice located at 119 W Lowman St , Mullins SC 29574-3107. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. De Grood, Robert Louis can be contacted via phone (843) 464-4000.

Contact Information

Primary practice address
119 W Lowman St Mullins SC 29574-3107
Phone: (843) 464-4000
Fax: (843) 464-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17113 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 17113 South Carolina

Profile Details

NPI number 1841248085
LBN Legal business name De Grood, Robert Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841248085 NPPES
South Carolina MEDICAID GP1384
South Carolina Other AA89359493
South Carolina Other GP 9493
South Carolina MEDICAID GP 5462

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