Individual
DR. TRACEY P GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WELLNESS WAY, MILFORD, DE 19963-4364
(302) 422-3311
Mailing address
777 LOWNDES HILL RD BLDG 1, GREENVILLE, SC 29607-2101
(800) 967-2289
(855) 621-7065
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C1-0011097
DE
207V00000X
Obstetrics & Gynecology Physician
MD044957E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001250840
—
PA
01
—
02016202
CAPITAL BLUE CROSS-WMG
PA
01
—
1142786
AMERIHEALTHMERCY- WMG
PA
01
—
1506605
GATEWAY- WMG
PA
01
—
32662
JOHNS HOPKINS
PA
01
—
348539
MAMSI-ALLIANCE - WMG
PA
01
—
39193
GEISINGER HEALTH PLAN
PA
01
—
524956
CAREFIRST MD BCBS
MD
01
—
5272418
AETNA
PA
01
—
662061
HIGHMARK BLUE SHIELD
PA
01
—
80744
UNISON- WMG
PA
Enumeration date
07/06/2006
Last updated
04/07/2023
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