| NPI | 1639117732 | 
|---|---|
| Doing Business As | RACHAEL E GROSS, DO | 
| Entity Type | Organization | 
| Authorized Contact | THOMAS DANDRIDGE President 803-395-2200  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2006-06-02 | 
| Last Update Date | 2020-08-22 |