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Individual
ASHLEY R GRIMMETT
Active
Individual
ASHLEY R GRIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01210
WV
207NS0135X
Procedural Dermatology Physician
01210
WV
363A00000X
Physician Assistant
Primary
01210
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001898831
BCBS
WV
Enumeration date
10/13/2006
Last updated
02/24/2023
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