Individual
MICHAEL GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 W GATE CITY BLVD STE 7485, GREENSBORO, NC 27407-4239
(336) 383-8983
Mailing address
4615 W GATE CITY BLVD STE 7485, GREENSBORO, NC 27407-4239
(336) 383-8983
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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