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Individual

MRS. AUTUMN GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
511 LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(704) 335-3400
Mailing address
11300 FAIRWAY DR, LAURINBURG, NC 28352-7954

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013625
NC

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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