Individual
EMMA GRZYMKOWSKI
Active
Individual
EMMA GRZYMKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5100
TN
363AS0400X
Surgical Physician Assistant
Primary
5100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5100
PHYSICIAN ASSISTANT LICENSE
TN
Enumeration date
08/24/2022
Last updated
05/26/2023
Update your record
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