| Dr Larry Douglas Grubb, MD | |
|
130 N Washington St, Sumter, SC 29150-4920 | |
| (803) 774-8888 | |
| (803) 778-6376 |
| Full Name | Dr Larry Douglas Grubb |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 43 Years |
| Location | 130 N Washington St, Sumter, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013947589 | NPI | - | NPPES |
| MPA270 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 15990 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watauga Medical Center | Boone, NC | Hospital |
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watauga Medical Center Inc | 2668377474 | 75 |
| Entity Name | Watauga Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528134194 PECOS PAC ID: 2668377474 Enrollment ID: O20040210000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Douglas Grubb, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8614 | Dr Larry Douglas Grubb, MD 130 N Washington St, Sumter, SC 29150-4920 Ph: (803) 774-8888 |
Dr. Edward William Duffy Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 North Washington Street, Sumter, SC 29150 Phone: 803-774-8888 Fax: 803-778-6376 | |
Dr. Harvey Brian Balfour, MD Radiology Medicare: Medicare Enrolled Practice Location: 130 N Washington St, Sumter, SC 29150 Phone: 803-774-8888 | |
William A Collins Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 N Washington St, Sumter, SC 29150 Phone: 803-774-8888 Fax: 803-778-6376 | |
Dr. Laurie Ray Harrell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 N Washington St, Sumter, SC 29150 Phone: 803-774-8888 Fax: 803-778-6376 |