| Granger Christian Osborne, MD | |
|
851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | |
| (843) 884-5133 | |
| (843) 849-3343 |
| Full Name | Granger Christian Osborne |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 851 Leonard Fulghum Blvd, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477516607 | NPI | - | NPPES |
| 74680 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 7468 (South Carolina) | Primary |
| Entity Name | East Cooper Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861253981 PECOS PAC ID: 1254775687 Enrollment ID: O20240214000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Christian Osborne, MD 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 Ph: (843) 884-5133 | Granger Christian Osborne, MD 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 Ph: (843) 884-5133 |
Maggie Wolman Evans, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-884-5133 Fax: 843-849-3343 | |
Bridget Talbot Williamson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464 Phone: 843-856-3262 | |
Natalie Gregory, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-884-5133 Fax: 843-849-3343 | |
Mr. Michael J Slowey, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1375 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-883-5800 Fax: 843-881-0362 | |
Mary Theresa Joseph, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-884-5133 Fax: 843-849-3343 | |
Toya Pound, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464 Phone: 843-856-3262 | |
Mrs. Heather M Cook, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1375 Hospital Drive, Mt Pleasant, SC 29464 Phone: 843-883-5800 Fax: 843-606-3937 |