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Individual

ALLISON M. GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
133 E 1ST NORTH ST STE 5, SUMMERVILLE, SC 29483-6873
(843) 873-1592
(843) 507-8284
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24537
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP7295
SC
Enumeration date
12/01/2020
Last updated
11/29/2021
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