Individual
JEFFERY ROBERT GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
3725 SEABROOK ISLAND RD, JOHNS ISLAND, SC 29455-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38962
NC
207R00000X
Internal Medicine Physician
Primary
MD29477
SC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
38962
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
38962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194790881
—
NC
01
—
37653
BCBS
NC
Enumeration date
02/17/2006
Last updated
02/24/2025
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