Organization · Type 2 NPI

Gross Family Practice LLC

Rural Health Clinic/Center · Orangeburg, SC

NPI number 1083961114 Active

Practice location

970 Holly St
Orangeburg, SC 29115-4930

Call (803) 531-2722 Map

Fax (803) 531-2743

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X0646 (SC)
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1083961114

Gross Family Practice LLC's National Provider Identifier is 1083961114, issued on Aug 8, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Orangeburg, SC. The record was last updated on Sep 21, 2012.