Leroy A Griffin
Individual provider Active NPI Driver · Myrtle Beach, SC
NPI 1760337232 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1760337232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 102641107 (SC)
- Practice address
- 131 Vaught PL Unit 101
Myrtle Beach, SC 29588-3716 - Phone
- (843) 457-0529
- NPI assigned
- Mar 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102641107 | SC | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | 102641107 | SC | Yes |
Addresses
Primary practice location
131 Vaught PL Unit 101
Myrtle Beach, SC 29588-3716
Mailing address
131 Vaught PL Unit 101
Myrtle Beach, SC 29588-3716
Phone (843) 457-0529
Other providers in Myrtle Beach, SC
- Emily Grieshaber
- Brendan Griesmer
- Griffin Eye Center PLLC
- Griffin Eye Surgery Center
- Lasonya Griffin
- Linda D Griffin
- Neil Bostrom Griffin
- Kira Griffith
- Lucia Griffith
- Mary Jane Griffith
All providers in Myrtle Beach, SC · Driver in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.