Individual provider · Type 1 NPI

Retia Grissett

Private Vehicle · Columbia, SC

NPI number 1578038113 Active

Practice location

3913 Westmore Dr
Columbia, SC 29223-4769

Mailing address

4711 Forest Dr, Ste 3 Pmb 157
Columbia, SC 29206-3125

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle 347C00000X371446270 (SC)
Private Vehicle 347C00000XNone listed
Private Vehicle Primary 347C00000X008334577 (SC)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1578038113

Retia Grissett's National Provider Identifier is 1578038113, issued on Oct 10, 2018. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Columbia, SC. The record was last updated on Oct 10, 2018.