Individual
NICHOLAS BRADLEY GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3312 BATTLEGROUND AVE, GREENSBORO, NC 27410-2548
(336) 282-5000
Mailing address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
202202395
NC
207W00000X
Ophthalmology Physician
MD204084
OR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
202202395
NC
Other
Enumeration date
03/30/2017
Last updated
12/20/2023
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