Organization
LEE GRIMM, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE GRIMM MD (OWNER)
(423) 854-0001
Entity
Organization
Contact information
Practice address
3101 BROWNS MILL RD PMB 386, SUITE 6, JOHNSON CITY, TN 37604-4100
(423) 854-0001
(423) 854-0002
Mailing address
7580 CLARINGTON CV, SUITE 3, SOUTHAVEN, MS 38671-5657
(423) 854-0001
(423) 854-0002
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD20507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111800
—
MS
05
—
3053456
—
TN
Enumeration date
05/22/2007
Last updated
08/22/2020
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