# JEFFERY ROBERT GRIMES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194790881
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 38962 | NC | — |
| 207R00000X | Internal Medicine Physician | MD29477 | SC | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 38962 | NC | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 38962 | NC | — |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 02/24/2025