Grisham, Alyssa D
Grisham, Alyssa D is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Grisham, Alyssa D can be contacted via phone (803) 939-4577.Contact Information
Primary practice address
2720 Sunset Blvd
West Columbia SC 29169-4810
Phone: (803) 939-4577
Fax: (803) 794-4317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3112 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3112 | South Carolina |
Profile Details
| NPI number | 1962913921 |
|---|---|
| LBN Legal business name | Grisham, Alyssa D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2017 |
| Last updated | Apr 20th, 2023 - about 3 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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