Individual
WILLIAM ARCHIE GRIMSLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3500 ARENDELL ST, MOREHEAD CITY, NC 28557
(252) 808-6074
Mailing address
PO BOX 20169, ROANOKE, VA 24018-0506
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
32712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220015619
RR MEDICARE
NC
01
—
37682
BCBS OF NC
NC
05
—
8937682
—
NC
Enumeration date
03/25/2006
Last updated
04/30/2020
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