Individual
CARY GRINOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP,CDE
Contact information
Practice address
881 USS JAMES MADISON ROAD, NAVAL AMBULATORY CARE CENTER, KINGS BAY, GA 31547
(912) 573-6583
Mailing address
881 USS JAMES MADISON ROAD, NAVAL AMBULATORY CARE CENTER, KINGS BAY, GA 31547
(912) 573-6583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R22890
NM
Other
Enumeration date
03/14/2006
Last updated
02/16/2011
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