Individual
ANITA K PENNINGTON GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
437 COVENANT CIR, HUEYTOWN, AL 35023-2085
(205) 240-6613
Mailing address
437 COVENANT CIR, HUEYTOWN, AL 35023-2085
(205) 240-6613
(205) 995-7985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-121
AL
Other
Enumeration date
05/26/2006
Last updated
08/28/2014
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