Organization
BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES GROSSELL DO (OWNER)
(704) 434-9686
Entity
Organization
Contact information
Practice address
305 W COLLEGE AVE, A, SHELBY, NC 28152-8111
(704) 434-9686
(704) 434-9618
Mailing address
305 W COLLEGE AVE, A, SHELBY, NC 28152-8111
(704) 434-9686
(704) 434-9618
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9501262
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407172091
—
NC
Enumeration date
04/08/2010
Last updated
04/16/2015
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