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1275026510
SAMUEL J GROOT
GREENVILLE, SC
NPI
1275026510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: SC LL52655)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
SAMUEL J GROOT MD
701 GROVE RD FL 3
GREENVILLE, SC 29605-4210
Phone number: 864-455-1435
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Mailing Address
SAMUEL J GROOT MD
701 GROVE RD FL 3
GREENVILLE, SC 29605-4210
Phone number: 864-455-1435
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