Provider Demographics
NPI:1174975734
Name:GRUENBERGER, ERIC HANS (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HANS
Last Name:GRUENBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MARSH CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-3150
Mailing Address - Country:US
Mailing Address - Phone:443-812-5989
Mailing Address - Fax:443-558-3676
Practice Address - Street 1:232 BENT HOLLY DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209
Practice Address - Country:US
Practice Address - Phone:443-812-5989
Practice Address - Fax:443-558-3676
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC94207207X00000X, 208600000X, 208D00000X
GA89869208D00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery