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Individual
JOHNSIE CAROL GRIGG
Active
Individual
JOHNSIE CAROL GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME47294
FL
207Q00000X
Family Medicine Physician
Primary
ME47294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04633
BLUE CROSS BLUE SHIELD
FL
01
—
P00149413
RAILROAD MEDICARE
FL
Enumeration date
05/23/2005
Last updated
06/21/2012
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