Individual
DR. GREG ALAN GRISSO
Active
Individual
DR. GREG ALAN GRISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
562234742
NC
207R00000X
Internal Medicine Physician
Primary
9900516
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407877
UNITED HEALTH CARE
NC
01
—
1206W
BLUE CROSS
NC
01
—
291273
MAMSI - PPO
NC
01
—
31491
PARTNERS
NC
01
—
4997222005
CIGNA
NC
01
—
86827
MEDCOST
NC
05
—
891206W
—
NC
01
—
891273
MAMSI HMO
NC
01
—
P00454351
RR MEDICARE
NC
Enumeration date
12/05/2006
Last updated
07/06/2009
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