Gruber, Cody Tyler

Gruber, Cody Tyler is an individual health care provider with primary practice located at 1439 Thunderbolt Drive , Walterboro SC 29488. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gruber, Cody Tyler can be contacted via phone (843) 538-4343.

Contact Information

Primary practice address
1439 Thunderbolt Drive Walterboro SC 29488
Phone: (843) 538-4343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 101824814 South Carolina

Profile Details

NPI number 1972272888
LBN Legal business name Gruber, Cody Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2021
Last updated Mar 14th, 2022 - about 4 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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