Individual
BRADFORD PEARCE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 633-7220
(704) 647-0515
Mailing address
611 MOCKSVILLE AVE, SALISBURY, NC 28144-2705
(704) 633-7220
(704) 647-0515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013-01752
NC
208600000X
Surgery Physician
57.015338
OH
208M00000X
Hospitalist Physician
Primary
2013-01752
NC
Other
Enumeration date
11/20/2008
Last updated
08/02/2023
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