Randall Paul Grove in Myrtle Beach - Physician Assistant
Randall Paul Grove - NPI 1619969250
Randall Paul Grove is a Physician Assistant in Myrtle Beach, South Carolina. Randall Paul Grove practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randall Paul Grove is 1619969250. The last update date is 2017-10-19.
Randall Paul Grove's current location address is 1101 Johnson Ave, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434770177. The mailing address for Randall Paul Grove is 1101 Johnson Ave, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Paul Grove |
|---|---|
| Address | 1101 Johnson Ave, Myrtle Beach, South Carolina |
| Phone Number | 8434770177 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1619969250 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2017-10-19 |
Provider Mailing Address Detail
| Address | 1101 Johnson Ave |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295771893 |
| Phone Number | 8434770177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA001516L |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Randall Paul Grove by the Centers for Medicare & Medicaid Services?
The Randall Paul Grove has been issued the NPI (National Provider Identifier) 1619969250. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Randall Paul Grove is geographically located?
The Randall Paul Grove is physically situated at the following location: 1101 Johnson Ave, Myrtle Beach, SC, 295771893.
What is Randall Paul Grove's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall Paul Grove is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619969250 to Randall Paul Grove?
The Centers for Medicare & Medicaid Services originally issued the 1619969250 to Randall Paul Grove on 2005-08-19.
When was the information related to Randall Paul Grove most recently updated or refreshed?
The details pertaining to the Randall Paul Grove, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-10-19.
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