Grubb, Larry Douglas
Grubb, Larry Douglas is an individual health care provider with primary practice located at 130 N Washington St , Sumter SC 29150-4920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Grubb, Larry Douglas can be contacted via phone (803) 774-8888.Contact Information
Primary practice address
130 N Washington St
Sumter SC 29150-4920
Phone: (803) 774-8888
Fax: (803) 778-6376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 15990 | South Carolina |
Profile Details
| NPI number | 1013947589 |
|---|---|
| LBN Legal business name | Grubb, Larry Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Aug 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013947589 | NPPES |
| South Carolina | MEDICAID | MPA270 |
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