Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 4587 | SC |
NPI | 1205433406 |
---|---|
Provider Name | Dr. Megan Grady |
First Address | Greenville, SC 29615-2282 |
Second Address | Greenville, SC 29615-2282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2020 |
Last Update Date | 01/10/2020 |