Grantham, David Wayne

Grantham, David Wayne is an individual health care provider with primary practice located at 5 First Village Drive , Pinehurst NC 28374-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grantham, David Wayne can be contacted via phone (910) 295-6831.

Contact Information

Primary practice address
5 First Village Drive Pinehurst NC 28374-2000
Phone: (910) 295-6831
Fax: (910) 295-0244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2007-01020 North Carolina

Profile Details

NPI number 1689871683
LBN Legal business name Grantham, David Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Sep 10th, 2018 - about 7 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 1689871683 NPPES
South Carolina MEDICAID Q20007
South Carolina MEDICAID 1689871683
South Carolina MEDICAID 3810009398
South Carolina Other 145NY
South Carolina Other 199308
South Carolina MEDICAID 5907193
South Carolina Other 810125
South Carolina Other 7263977

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