# PAUL JEFFREY GRIMM

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

## Provider details

- **NPI number:** 1609841444
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 059916 | GA | — |
| 207Q00000X | Family Medicine Physician | 200000810 | NC | — |
| 207R00000X | Internal Medicine Physician | 200000810 | NC | — |
| 208D00000X | General Practice Physician | 200000810 | NC | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 11/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003174806A | — | GA |
| 01 | — | 1278M | BCBSNC | NC |
| 01 | — | 202I086108 | MEDICARE PTAN | GA |
| 05 | — | 7906805 | — | NC |