Healthcare Provider Details

I. General information

NPI: 1508557901
Provider Name (Legal Business Name): CHANDLER GRIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 CHURCH ST
WALTERBORO SC
29488-2901
US

IV. Provider business mailing address

107 CHURCH ST
WALTERBORO SC
29488-2901
US

V. Phone/Fax

Practice location:
  • Phone: 843-549-1558
  • Fax: 843-549-1454
Mailing address:
  • Phone: 843-549-1558
  • Fax: 843-549-1454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number96422
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: