Individual
DR. CHARLES GARY GRIGSBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 WEST WALNUT STREET, PANVILLE, KY 40422
(859) 239-5870
(859) 239-5879
Mailing address
216 WEST WALNUT STREET, PANVILLE, KY 40422
(859) 239-5870
(859) 239-5879
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24735
KY
207RI0011X
Interventional Cardiology Physician
Primary
24735
KY
Other
Enumeration date
08/12/2006
Last updated
04/10/2012
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