Provider Demographics
NPI:1770691289
Name:PATTON, GRANT W JR (MD)
Entity type:Individual
Prefix:MR
First Name:GRANT
Middle Name:W
Last Name:PATTON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1375 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-881-3900
Mailing Address - Fax:843-284-2473
Practice Address - Street 1:1375 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-881-3900
Practice Address - Fax:843-284-2473
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
SC6070207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D17556Medicare UPIN