Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Paul Grove, PA

Individual provider Physician Assistant · NPI 1619969250

Randall Paul Grove, PA is a Physician Assistant in Myrtle Beach, South Carolina. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1101 Johnson Ave
Myrtle Beach, SC 29577-1893
Phone: (843) 477-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA001516L (PA)

Record details

NPI number1619969250
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESOctober 19, 2017

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