Individual provider · Type 1 NPI

Randall Paul Grove, PA

Physician Assistant · Myrtle Beach, SC

NPI number 1619969250 Active

Practice location

1101 Johnson Ave
Myrtle Beach, SC 29577-1893

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA001516L (PA)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619969250

Randall Paul Grove, PA's National Provider Identifier is 1619969250, issued on Aug 19, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 19, 2017.