Individual
MR. RICHMOND LEE GRINER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, DEPT. OF ANESTHESIA MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 713-2755
Mailing address
120 MCKNIGHTS TRCE, CLEMMONS, NC 27012-7702
(336) 713-2755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050602
—
NC
Enumeration date
11/21/2005
Last updated
08/30/2007
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