Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONNA GRIMSLEY MIZELLE, MD
ActiveDR. DONNA GRIMSLEY MIZELLE, MD is a Family Medicine healthcare provider located in PINEWOOD, South Carolina. NPI 1760427678 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PINEWOOD, SC
Registration Details
- NPI Number
- 1760427678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2006 (20.01528022812 yrs)
- Last Updated
- Oct 25, 2022
- Licenses
-
200300669 (NC)22449 (SC)
Practice Information
- Address
-
25 EAST CLARK STREETPINEWOOD, SC, 29125Browse SC providers · Browse ZIP 29125
- Phone
- 8037744500
- Fax
- 8034525712
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PINEWOOD, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT NOYES ETHERIDGE | M.D. | 1588007603 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.