Grace McRoy
Physician Assistant, Surgical in Charleston, SC. Individual provider (NPI-1).
NPI number1801550413
StatusActive
Last updated in NPPESMar 17, 2023
Details
- NPI
- 1801550413
- Entity type
- Individual (NPI-1)
- Name
- Grace McRoy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Mar 17, 2023
- Last updated
- Mar 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 4668 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
30 Courtenay DrCharleston, SC 29401
Phone 843-876-0178
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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