Miner, Grace L

Miner, Grace L is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Miner, Grace L can be contacted via phone (843) 777-8752.

Contact Information

Primary practice address
555 E Cheves St Florence SC 29506-2617
Phone: (843) 777-8752
Fax: (843) 777-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN433 South Carolina

Profile Details

NPI number 1114927993
LBN Legal business name Miner, Grace L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jan 30th, 2008 - about 18 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 1114927993 NPPES
South Carolina MEDICAID AN0280

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