OrganizationActive
Gross Family Practice LLC
NPI 1083961114 · Rural Health Clinic/Center · Orangeburg, SC
Provider details
- NPI number
- 1083961114
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Verdell Haygood, Office Manager
- License
- 0646 (SC)
Practice location
970 Holly St
Orangeburg, SC 29115-4930
Phone: (803) 531-2722
Fax: (803) 531-2743
Mailing address
970 Holly St
Orangeburg, SC 29115-4930
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2012-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.