Individual
DR. GRANT THOMAS BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(800) 899-5757
(314) 821-1833
Mailing address
PO BOX 75332, CHARLOTTE, NC 28275-0332
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101019216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326333568
NPI
NC
01
—
201700210
STATE OF NC MEDICAL LICENSE
NC
Enumeration date
06/16/2011
Last updated
10/05/2021
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