Individual
JEWELL GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 STANTONSBURG RD, GREENVILLE, NC 27834-2800
(252) 847-7990
Mailing address
2610 STANTONSBURG RD, GREENVILLE, NC 27834-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
184624
NC
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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