Individual
MISTY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
500 W 3RD AVE, STE 101, ALBANY, GA 31701-1985
(229) 312-5869
(229) 889-7055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN214620
GA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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