Individual
JEREMY GRIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7211
Mailing address
248 N TANZANITE TRL APT 8, FAYETTEVILLE, AR 72701-7687
(870) 715-7471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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