Individual
JAMES DONALD GRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 NC HWY 108, RUTHERFORDTON, NC 28139-2406
(828) 286-2302
(828) 287-4320
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10475
AL
207Q00000X
Family Medicine Physician
7509
SC
207Q00000X
Family Medicine Physician
Primary
9601785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910194
—
NC
01
—
P00976732
RAILROAD MEDICARE
NC
Enumeration date
06/13/2007
Last updated
02/28/2013
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