RANDALL GROVE, PA
Physician Assistant
Active
Individual
NPI: 1619969250
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | MA001516L (PA) |
Frequently Asked Questions
NPI 1619969250 is the National Provider Identifier for RANDALL GROVE, PA, a Physician Assistant provider located in Myrtle Beach, SC. This NPI was enumerated on August 19, 2005.
RANDALL GROVE, PA practices at 1101 JOHNSON AVE, Myrtle Beach, SC 29577.
Quick Facts
- NPI
- 1619969250
- Type
- Individual
- Enumerated
- Aug 19, 2005
- Last Updated
- Oct 19, 2017
Nearby Providers
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DR. ANNE LAROCHELLE, M.D.
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DR. GERALD LAROCHELLE, M.D.
Internal Medicine - Rheumatology
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DR. MICHAEL GAMBACORTA, FNP
Nurse Practitioner
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DR. LUTHER WILLIAMS JR., M.D.
Dermatology
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DR. RICHARD HUSSEY III, M.D.
Dermatology