Individual
CHARLES KEVIN GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 S 8TH ST STE 301, GRIFFIN, GA 30224-4260
(770) 229-6072
(757) 446-5197
Mailing address
619 S 8TH ST STE 301, GRIFFIN, GA 30224-4260
(770) 229-6072
(757) 446-5197
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
0101265120
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q075195
—
TN
Enumeration date
06/25/2013
Last updated
09/11/2025
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