Individual
MELANIE BUCHANAN GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
540 NEW WAVERLY PL STE 200, CARY, NC 27518-7422
(919) 954-4159
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-09360
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/15/2019
Last updated
01/08/2021
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