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Individual

MRS. HILARY C. GRISSOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
668 SKYLINE DR, JACKSON, TN 38301
(731) 424-2414
(731) 424-4444
Mailing address
668 SKYLINE DRIVE, JACKSON, TN 38301
(731) 424-2414
(731) 424-4444

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
43415
TN

Other

Enumeration date
04/10/2007
Last updated
08/01/2008
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