Provider Demographics
NPI:1326745100
Name:GRIGGS, WILLIAM KEITH (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:KEITH
Last Name:GRIGGS
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-7731
Mailing Address - Country:US
Mailing Address - Phone:803-620-3069
Mailing Address - Fax:
Practice Address - Street 1:111 CONGRESS ST S
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-1836
Practice Address - Country:US
Practice Address - Phone:803-684-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7896235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist